Jesus Benjamin Untiveros, MEDICAL DEGREE

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

D28671 Issued in MD

Practice address

8903 Shady Grove Court
Gaithersburg, MD 20877

Phone

(301) 330-4400

Fax

(301) 330-7343

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114145877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 SHADY GROVE COURT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "301-330-4400",
            "fax_number": "301-330-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 SHADY GROVE COURT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "301-330-4400",
            "fax_number": "301-330-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTIVEROS",
        "first_name": "JESUS",
        "middle_name": "BENJAMIN",
        "credential": "MEDICAL DEGREE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D28671",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D28671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ha Doan Thi Ung, DDS
• Universal Health Systems Inc
• University Psychological Center, Inc.
• Portia Anjong Unogobi
• Gail L Unterberger, PH.D.
• Upcounty Pastoral Counseling Services, LLC
• Ur Wellness 2 LLC
• Grace Elizabeth Urbach
• Michael Urban, DDS
• Viviana Urban, DDS

• Gastroenterology Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Gastroenterology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.