Individual provider Active NPI

Darryl A Hill, MD

  • Internal Medicine Physician
  • Laurel, MD
National Provider Identifier
1013978790
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0053235 Issued in MD
Practice address
13635 Baltimore Ave
Laurel, MD 20707
Phone
(301) 497-0601
Fax
(301) 497-0402
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0053235 MD Primary
Internal Medicine Physician 207R00000X 31761 DC
Internal Medicine Physician 207R00000X 0101840502 VA

Addresses

Primary practice location

13635 Baltimore Ave
Laurel, MD 20707

Mailing address

13635 Baltimore Ave
Laurel, MD 20707
Phone (301) 497-0601

Other identifiers 1

IdentifierTypeStateIssuer
214502200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060503000229 MD Practitioner - Internal Medicine 6103836317 Reassigns benefits to 1 organization
I20120328000388 DC Practitioner - Internal Medicine 6103836317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13635 Baltimore Ave
Laurel, MD 20707-5095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31761DCMDInternal Medicine Physician
0053235MDMDInternal Medicine Physician
0101840502VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel Medical Associates, LLC Internal Medicine CurrentSince Feb 16, 2003 Accepting new patients

Locations

13635 Baltimore Ave
Laurel, MD 20707
Phone (301) 497-0401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17239/brand/1/csg/1/fhir/r4
  • Direct secure messaging: darryl.hill.1@17239.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1013978790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13635 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-497-0601",
            "fax_number": "301-497-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13635 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-497-0601",
            "fax_number": "301-497-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DARRYL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "0053235",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "31761",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101840502",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214502200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.