Active NPI
Jessica Nooralian
- Pediatrics Physician
- Perry Hall, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D83159
- Practice address
- 5009 Honeygo Center Dr Ste 225
Perry Hall, MD 21128-9843 - Phone
- (443) 725-2100
- NPI assigned
- Mar 29, 2014
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | D83159 | MD | Primary |
Addresses
Primary practice location
5009 Honeygo Center Dr Ste 225
Perry Hall, MD 21128-9843
Mailing address
23 Pierside Dr.
Apt 415
Baltimore, MD 21230
Phone (301) 821-5171
Other practice location 1
22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-6662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Maryland School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D83159 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Franklin Square Hospital Center, Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
5009 Honeygo Center Dr
Ste 225
Perry Hall, MD 21128
Phone (443) 425-2100
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
Organizations & group practices 4
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1134547052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 PIERSIDE DR.",
"address_2": "APT 415",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21230",
"telephone_number": "301-821-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 HONEYGO CENTER DR STE 225",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289843",
"telephone_number": "443-725-2100"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-6662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOORALIAN",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D83159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perry Hall, MD
- National Rehabilitation Hospital, Inc. (MedStar Health Physical Therapy at Perry Hall)
- Newtin Nde Ndingwan, PHARMD
- Holly Nelson, OTR/L
- Irene W. Njuguna, AGNP
- Noel Health Care Services and General Merchants, L.L.C
- Christina Nyaluke
- Iyobosa Joan Obasogie, NP
- Kendrick Obiefule, MD
- Oluwanifemi Praise Oduntan
- George Abumere Okojie
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.