Individual provider Active NPI

Madison Aryanna Clinton, PA

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1093420408
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008779 Issued in MD
Practice address
9601 Blackwell Rd # 350
Rockville, MD 20850-3472
Phone
(301) 545-5512
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008779 MD Primary

Addresses

Primary practice location

9601 Blackwell Rd # 350
Rockville, MD 20850-3472

Mailing address

9601 Blackwell Rd # 350
Rockville, MD 20850-3472
Phone (301) 545-5512

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230302001994 DC Practitioner - Physician Assistant 1153794607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schreiber AllergyGroup PAC ID 4082934955, 5 clinicians
Arthritis and Rheumatism Associates PCGroup PAC ID 5597750703, 50 clinicians

Practice addresses (Care Compare)

100 Main St
PO Box 124
Millsboro, DE 20850-3472

2021 K St NW
Suite 300
Washington, DC 20006-1012
Phone 3019427600430

9601 Blackwell Rd
Suite 350
Rockville, MD 20850-3472
Phone (301) 545-5512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0008779MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Rheumatism Associates PC CurrentSince Mar 1, 2026 Accepting new patients

Locations

2021 K St NW
Ste 310
Washington, DC 20006
Phone (202) 293-9412

2021 K St NW
Ste 300
Washington, DC 20006
Phone (301) 942-3126

2730 University Blvd W
Ste 310
Wheaton, MD 20902

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1093420408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD # 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503472",
            "telephone_number": "301-545-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD # 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503472",
            "telephone_number": "301-545-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "MADISON",
        "middle_name": "ARYANNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.