Active NPI
Maria L Jison, MD
- Pulmonary Disease Physician
- Kensington, MD
National Provider Identifier
1326080193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D0054450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689687162 | Other | MD | GROUP NPI |
Other names 1
- Maria Leonor Gonzales Jison
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0054450 | MD | MD | Critical Care Medicine (Internal Medicine) Physician |
| 0101237603 | VA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 010237603 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Columbia, MD
- NPI 1972838316
-
- Sleep Medicine (Internal Medicine) Physician
- Columbia, MD
- NPI 1033347877
-
- Specialist
- Clinton, MD
- NPI 1881695807
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.