Active NPI
Madison Aryanna Clinton, PA
- Physician Assistant
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0008779
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C0008779 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthritis and Rheumatism Associates PC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.