NPIMap

Organization Active NPI

Adventist Healthcare Aco, LLC

Doing business as Adventist Medical Group

  • Public Health or Welfare Agency
  • Gaithersburg, MD
National Provider Identifier
1154863090
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ADVENTIST HEALTHCARE ACO, LLC
Doing business as
Adventist Medical Group
Practice address
820 W Diamond Ave
Gaithersburg, MD 20878-1419
Phone
(301) 315-3030
NPI assigned
Nov 9, 2016
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Kristen Pulio
Title
SVP/Cfo
Phone
(301) 315-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

820 W Diamond Ave
Gaithersburg, MD 20878-1419

Mailing address

820 W Diamond Ave
Suite 500
Gaithersburg, MD 20878-1419
Phone (301) 315-3102

Other names 1

  • Adventist Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventist Physician Service Inc57 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1154863090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE",
            "address_2": "SUITE 500",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781419",
            "telephone_number": "301-315-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W DIAMOND AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781419",
            "telephone_number": "301-315-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTHCARE ACO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "PULIO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "301-315-3569"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.