Individual provider Active NPI

Maria Lisa O'Brien, M.D.

  • Family Medicine Physician
  • Leonardtown, MD
National Provider Identifier
1366429011
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D82534 Issued in MD
Practice address
41680 Miss Bessie Dr Ste 301
Leonardtown, MD 20650-2965
Phone
(301) 997-0055
Fax
(301) 997-0066
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25649 AL
Family Medicine Physician 207Q00000X C53909 CA
Family Medicine Physician 207Q00000X D82534 MD Primary

Addresses

Primary practice location

41680 Miss Bessie Dr Ste 301
Leonardtown, MD 20650-2965

Mailing address

41680 Miss Bessie Dr Ste 301
Leonardtown, MD 20650-2965
Phone (301) 997-0055

Other names 1

  • Dr. Maria Lisa Delima Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170424001458 MD Practitioner - Family Practice 8022200773 Reassigns benefits to 1 organization
I20260520001763 FL Practitioner - Family Practice 8022200773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2728 Cedar Springs Rd
Apt 1602
Dallas, TX 75201-1365

8643 Mammut Way
Melbourne, FL 32940-8805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25649ALMDFamily Medicine Physician
C53909CAMDFamily Medicine Physician
53909CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

41680 Miss Bessie Dr
Ste 301
Leonardtown, MD 20650
Phone (301) 997-0055

41680 Miss Bessie Dr
Leonardtown, MD 20650
Phone (301) 997-0055

Organizations & group practices 5

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1366429011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR STE 301",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502965",
            "telephone_number": "301-997-0055",
            "fax_number": "301-997-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41680 MISS BESSIE DR STE 301",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502965",
            "telephone_number": "301-997-0055",
            "fax_number": "301-997-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MARIA",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "25649",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C53909",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D82534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DELIMA",
            "middle_name": "LISA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.