Individual provider Active NPI

Jonathan Damon Lawless, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Silver Spring, MD
National Provider Identifier
1053677518
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
H0083410 Issued in MD
Practice address
11120 New Hampshire Ave Ste 411
Silver Spring, MD 20904-2620
Phone
(301) 754-0505
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X H0083410 MD Primary

Addresses

Primary practice location

11120 New Hampshire Ave Ste 411
Silver Spring, MD 20904-2620

Mailing address

11120 New Hampshire Ave Ste 411
Silver Spring, MD 20904-2620
Phone (301) 754-0505

Other practice location 1

800 S Frederick Ave Ste 110
Gaithersburg, MD 20877-4151
Phone (301) 208-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170816000719 DC Practitioner - Sports MedicinePractitioner - Family Practice 2961774617 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0083410MDMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 13, 2017 Accepting new patients
Eran Kessous MD PC Sports Medicine CurrentSince Aug 16, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 13, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Clarksville Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

800 S Frederick Ave
Ste 110
Gaithersburg, MD 20877
Phone (301) 208-2273

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

11120 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 593-9612

11120 New Hampshire Ave
Ste 411
Silver Spring, MD 20904
Phone (301) 754-0505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15259/brand/7/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGDCD
  • Direct secure messaging: jonathan.lawless.1@15259.direct.athenahealth.com

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eran Kessous MD PC 2 clinicians
Suburban/NRH Medical Rehabilitation Inc 885 clinicians
Kessous and Kessous MD PC 4 clinicians

Practice addresses (Care Compare)

11120 New Hampshire Ave
Suite 411
Silver Spring, MD 20904-2620
Phone (301) 754-0505

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

800 S Frederick Ave
Suite 110
Gaithersburg, MD 20877-4151
Phone (301) 208-2273

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1053677518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 411",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042620",
            "telephone_number": "301-754-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE STE 411",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042620",
            "telephone_number": "301-754-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Frederick Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208774151",
            "country_code": "US",
            "telephone_number": "301-208-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "JONATHAN",
        "middle_name": "DAMON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MD",
            "license": "H0083410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.