MEDICARE: CAPITOL CARDIOLOGY ASSOCIATES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0001X	Clinical Cardiac Electrophysiology Physician
2	207RI0011X	Interventional Cardiology Physician
3	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1760339568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITOL CARDIOLOGY ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	8116 GOOD LUCK RD STE 305
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-3508
Country	:	US
Telephone Number	:	301-552-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 FOREST GLEN RD STE 355
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1475
Country	:	US
Telephone Number	:	301-552-1200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAJENDRA R SHETTY
Credential	:
Telephone Number	:	301-552-1200

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	05/06/2026

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