Individual provider Active NPI

Maria L Jison, MD

  • Pulmonary Disease Physician
  • Kensington, MD
National Provider Identifier
1326080193
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0054450 Issued in MD
Practice address
10400 Connecticut Ave
Suite 206
Kensington, MD 20895-3910
Phone
(888) 340-3330
Fax
(240) 489-6262
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 010237603 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101237603 VA
Pulmonary Disease Physician 207RP1001X D0054450 MD Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0054450 MD

Addresses

Primary practice location

10400 Connecticut Ave
Suite 206
Kensington, MD 20895-3910

Mailing address

11006 Veirs Mill Rd
PMB 261
Wheaton, MD 20902-2582
Phone (888) 340-3330

Other identifiers 1

IdentifierTypeStateIssuer
1689687162OtherMDGROUP NPI

Other names 1

  • Maria Leonor Gonzales Jison Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054450MDMDCritical Care Medicine (Internal Medicine) Physician
0101237603VAMDCritical Care Medicine (Internal Medicine) Physician
010237603VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Maryland Intensive Care, Inc. Past Accepting new patients
Pulmonary Disease and Critical Care Associates, PA., Past Accepting new patients
Pulmonary Disease and Critical Care Associates, P.a. Past Accepting new patients

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1326080193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11006 VEIRS MILL RD",
            "address_2": "PMB 261",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022582",
            "telephone_number": "888-340-3330",
            "fax_number": "240-489-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE",
            "address_2": "SUITE 206",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953910",
            "telephone_number": "888-340-3330",
            "fax_number": "240-489-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JISON",
        "first_name": "MARIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "010237603",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101237603",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0054450",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0054450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1689687162",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "JISON",
            "middle_name": "LEONOR GONZALES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.