Jima Telele, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0046895 Issued in MD

Practice address

12164 Central Ave
Suite 200
Mitchellville, MD 20721-1944

Phone

(301) 218-9223

Fax

(240) 544-0120

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Capitol Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Lanham, MD
  • NPI 1609855733
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• United Planning Organization

  dba UPO Comprehensive Treatment Center

  • Methadone Clinic
  • Washington, DC
  • NPI 1346472412
  NPD
• Cignet Health

  • Multi-Specialty Clinic/Center
  • Mitchellville, MD
  • NPI 1225230469
  NPD (past)
• Cignet Health Center

  • Multi-Specialty Clinic/Center
  • Temple Hills, MD
  • NPI 1366506644
  NPD (past)
• Cignet Health Uplift Medical

  • Multi-Specialty Clinic/Center
  • Temple Hills, MD
  • NPI 1053475749
  NPD (past)
• Cignet Specialist Care

  • Multi-Specialty Clinic/Center
  • Mitchellville, MD
  • NPI 1841354479
  NPD (past)
• Cignet Urgent Care

  • Urgent Care Clinic/Center
  • Capitol Heights, MD
  • NPI 1629242284
  NPD (past)
• Medpro Hospitalists LLP

  • Internal Medicine Physician
  • Cheverly, MD
  • NPI 1346279262
  NPD (past)
• Ethio-American Health Center Inc

  • Family Medicine Physician
  • Washington, DC
  • NPI 1477794576
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356465553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 RIVIERA ST",
            "address_2": "SUITE 1D",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481719",
            "telephone_number": "301-423-4551",
            "fax_number": "301-423-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12164 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211944",
            "telephone_number": "301-218-9223",
            "fax_number": "240-544-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELELE",
        "first_name": "JIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0046895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nattasha Srikongyos, DMD, MS
• Amanda Leah Stabile
• Shirley Rose Subryan, ED.D
• T&J Enterprises, Inc. (Senior Helpers PG South)
• Guy B Tchamologne
• Tender Touch Dental Care, LLC
• Cheryl Terrell
• The Alabi Group, LLC (AIM Behavioral Health Services)
• The Oral Surgery Center at Mitchellville
• The Pediatric and Adolescent Center, LLC

• Internal Medicine Physician in Mitchellville, MD
• Providers in Mitchellville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.