Lilieth Poleon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R102845 Issued in MD

Practice address

133 Rollins Ave Ste 3
Rockville, MD 20852-4040

Phone

(443) 302-8100

NPI assigned

Dec 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, DC, MD, NC4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maryland Medical Specialists IncGroup PAC ID 2163820507, 10 clinicians

Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lilieth.poleonnp.p2@direct.msmg.nextgenshare.com

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.

• Maryland Medical Specialists Inc

  • Clinic/Center
  • Rockville, MD
  • NPI 1245907252

  DC

  Medicare reassignment Care Compare group NPD
• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092
  Medicare reassignment Care Compare group NPD
• J Richard Lilly MD Shaaron R Towns MD and Associates PC

  • General Practice Physician
  • Hyattsville, MD
  • NPI 1336135821

  DC

  Medicare reassignment NPD
• Fast Doc LLC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1174307854

  FL

  Medicare reassignment NPD
• Scholar Medical Group MD LLC

  • Clinic/Center
  • Rockville, MD
  • NPI 1639796428
  NPD
• Osh Mi Physicians Group, PC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1720635790
  NPD
• Fast Lab Technologies LLC

  dba Fast Lab Tech

  • Clinical Medical Laboratory
  • Brooklyn, NY
  • NPI 1154089241
  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1144628538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ROLLINS AVE STE 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524040",
            "telephone_number": "443-302-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3416 Poole Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276102918",
            "country_code": "US",
            "telephone_number": "919-902-7366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLEON",
        "first_name": "LILIETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9234158",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016989",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R102845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Pokusa
• Ross Polanco Arias
• Keiland Polanco
• Maria Polanco
• Kathryn McCann Polcaro, PA
• Kayla Poling
• Mary Polissedjian, PT
• Alan Ricky Pollack, MD
• Joseph Asher Pollack, D.C.
• Michele Dana Pollak, M.S., CCC-SLP

• Family Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.

Verify at the official NPI Registry.