Individual provider Active NPI

Nilesh Tejura, MD

  • Internal Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1093159279
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D81621 Issued in MD
Practice address
1101 Opal Court
Suite 202
Hagerstown, MD 21740-5941
Phone
(443) 410-4229
NPI assigned
Apr 18, 2013
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D81621 MD
Internal Medicine Physician 207R00000X D81621 MD Primary

Addresses

Primary practice location

1101 Opal Court
Suite 202
Hagerstown, MD 21740-5941

Mailing address

1101 Opal Court
Suite 202
Hagerstown, MD 21740-5941

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
I20190724000191 DC Practitioner - Infectious DiseasePractitioner - Internal Medicine 1456648567 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D81621MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants ,PC Infectious Disease CurrentSince Jun 30, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10110 Molecular Dr
Ste 105
Rockville, MD 20850
Phone (301) 605-7468

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHADAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHADAD/Endpoint/BHADAD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1093159279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OPAL COURT",
            "address_2": "SUITE 202",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OPAL COURT",
            "address_2": "SUITE 202",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405941",
            "telephone_number": "443-410-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJURA",
        "first_name": "NILESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D81621",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D81621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.