Individual provider Active NPI

Jay Michael Dintaman, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1174688592
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
A92703 Issued in CA
Practice address
4494 Palmer Rd N
BLDG 10, 6TH Floor
Bethesda, MD 20814
Phone
(202) 257-3176
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X A92703 CA Primary

Addresses

Primary practice location

4494 Palmer Rd N
BLDG 10, 6TH Floor
Bethesda, MD 20814

Mailing address

7309 Takoma Ave
Takoma Park, MD 20912-4103
Phone (202) 257-3176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502002063 DC Practitioner - Pediatric Medicine 9032431838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92703CAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital CurrentSince Apr 17, 2025 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Apr 17, 2025 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1174688592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 TAKOMA AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124103",
            "telephone_number": "202-257-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 PALMER RD N",
            "address_2": "BLDG 10, 6TH FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "202-257-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINTAMAN",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A92703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.