Active NPI
Darryl A Hill, MD
- Internal Medicine Physician
- Laurel, MD
National Provider Identifier
1013978790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0053235
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214502200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31761 | DC | MD | Internal Medicine Physician |
| 0053235 | MD | MD | Internal Medicine Physician |
| 0101840502 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurel Medical Associates, LLC | Internal Medicine | Current | Accepting new patients |
Locations
13635 Baltimore Ave
Laurel, MD 20707
Phone (301) 497-0401
Interoperability endpoints
- https://api.platform.athenahealth.com/17239/brand/1/csg/1/fhir/r4
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.