Organization Active NPI

Jie He, M.D., LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Rockville, MD
National Provider Identifier
1104149509
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0070192 Issued in MD
Legal business name
JIE HE, M.D., LLC
Practice address
932 Hungerford Dr
9A
Rockville, MD 20850-1713
Phone
(301) 251-0876
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Authorized official

Name
Jay He
Title
M.D.
Phone
(301) 251-0876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X D0070192 MD Primary

Addresses

Primary practice location

932 Hungerford Dr
9A
Rockville, MD 20850-1713

Mailing address

932 Hungerford Dr
9A
Rockville, MD 20850-1713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100624000251 DC Part B Supplier - Clinic/Group Practice 0749311447 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

9318 Gaither Rd
Ste 205
Gaithersburg, MD 20877
Phone (240) 393-5950

9470 Annapolis Rd
#S210
Lanham, MD 20706
Phone (301) 577-5511

966 Hungerford Dr
Ste 12A
Rockville, MD 20850
Phone (301) 251-0876

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1104149509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 HUNGERFORD DR",
            "address_2": "9A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 HUNGERFORD DR",
            "address_2": "9A",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501713",
            "telephone_number": "301-251-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIE HE, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "301-251-0876"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0070192",
            "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 Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.