MEDICARE: NEONATALCARE GROUP, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QI0500X	Infusion Therapy Clinic/Center
2	174400000X	Specialist

General Provider Information

NPI Number	:	1891263240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEONATALCARE GROUP, INC

Provider Business Mailing Address
First Line	:	7420 GEORGETOWN CT
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-2123
Country	:	US
Telephone Number	:	703-344-3447
Fax Number	:

Provider Business Practice Location Address
First Line	:	19110 MONTGOMERY VILLAGE AVE STE 120
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-3706
Country	:	US
Telephone Number	:	703-725-3141
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAHANGIR ROUHANI
Credential	:	MD
Telephone Number	:	703-344-3447

Provider Enumeration Date	:	11/04/2018
Last Update Date	:	02/02/2026

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