Active NPI
Jeevan Mathew Puthiamadathil, M.D.
- Hematology & Oncology Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD046921
- Practice address
- 10 Center Dr BLDG 10, RM B2L312
Bethesda, MD 20892 - Phone
- (301) 496-4916
- NPI assigned
- Apr 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD046921 | DC | Primary |
Addresses
Primary practice location
10 Center Dr BLDG 10, RM B2L312
Bethesda, MD 20892
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice location 1
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000
Other practice location 2
1221 S Eads St Apt 1016
Arlington, VA 22202-4722
Phone (201) 341-5026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD046921 | DC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Interoperability endpoints
- jputhiamadathil556082@direct.hopkinsmedicine.org
Organizations & group practices 2
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.
-
- Optometrist
- Arlington, VA
- NPI 1316750508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1235583311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CENTER DR BLDG 10, RM B2L312",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20892",
"telephone_number": "301-496-4916"
}
],
"practiceLocations": [
{
"address_1": "5255 Loughboro Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162633",
"country_code": "US",
"telephone_number": "202-537-4000",
"fax_number": "202-537-4965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 S Eads St Apt 1016",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222024722",
"country_code": "US",
"telephone_number": "201-341-5026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUTHIAMADATHIL",
"first_name": "JEEVAN",
"middle_name": "MATHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-14",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "DC",
"license": "MD046921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.