Individual provider Active NPI

Gloribel Le Olexa, MD

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1346747052
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0091714 Issued in MD
Practice address
15235 Shady Grove Rd Ste 105
Rockville, MD 20850-6278
Phone
(301) 990-3030
Fax
(301) 990-6767
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0091714 MD Primary

Addresses

Primary practice location

15235 Shady Grove Rd Ste 105
Rockville, MD 20850-6278

Mailing address

900 E Fort Ave Apt 703
Baltimore, MD 21230-5505
Phone (240) 723-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20191217000145 MD Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3274967716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0091714MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hirsch Pediatrics, LLC Pediatrics PastSince Jun 9, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: golexa@hirsch.pcc-direct.com

Organizations & group practices 1

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1346747052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E FORT AVE APT 703",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305505",
            "telephone_number": "240-723-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 SHADY GROVE RD STE 105",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506278",
            "telephone_number": "301-990-3030",
            "fax_number": "301-990-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEXA",
        "first_name": "GLORIBEL",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0091714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.