Active NPI
Johny Joseph Edappully, M.D.
- Family Medicine Physician
- Olney, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0037830
- Practice address
- 3416 Olandwood CT
207
Olney, MD 20832-1372 - Phone
- (301) 774-8355
- Fax
- (301) 774-1231
- NPI assigned
- Dec 2, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0037830 | MD | Primary |
Addresses
Primary practice location
3416 Olandwood CT
207
Olney, MD 20832-1372
Mailing address
3416 Olandwood CT
207
Olney, MD 20832-1372
Phone (301) 774-8355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- 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
- Family Practice
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3416 Olandwood CT
Suite 207
Olney, MD 20832-1373
Phone (301) 774-8355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0037830 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Center PA | Family Medicine | Current | Accepting new patients |
| U N I Medical Care Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| U.N.I. Medical Care, Inc | Past | Accepting new patients |
Locations
12272 Clarksville Pike
#A
Clarksville, MD 21029
Phone (443) 656-0306
6030 Daybreak Cir
Ste A150179
Clarksville, MD 21029
3416 Olandwood Ct
Ste 207
Olney, MD 20832
Phone (301) 774-8355
826 Washington Rd
Ste 110A
Westminster, MD 21157
Phone (410) 751-7480
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Westminster, MD
- NPI 1790962371
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba U.N.I. Urgent Care
- Urgent Care Clinic/Center
- Clarksville, MD
- NPI 1760837686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053489336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 OLANDWOOD CT",
"address_2": "207",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321372",
"telephone_number": "301-774-8355",
"fax_number": "301-774-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 OLANDWOOD CT",
"address_2": "207",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321372",
"telephone_number": "301-774-8355",
"fax_number": "301-774-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDAPPULLY",
"first_name": "JOHNY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0037830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.