Individual provider Active NPI

Jon W Gonella, PA

  • Physician Assistant
  • Takoma Park, MD
National Provider Identifier
1437184744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002353 Issued in MD
Practice address
7600 Carroll Avenue
Washington Adventist Hospital
Takoma Park, MD 20912
Phone
(301) 891-5070
Fax
(301) 891-5132
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002353 MD Primary

Addresses

Primary practice location

7600 Carroll Avenue
Washington Adventist Hospital
Takoma Park, MD 20912

Mailing address

1300 Piccard Drive
Suite 202
Rockville, MD 20850-4303
Phone (301) 921-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060118000081 DC Practitioner - Physician Assistant 9436052651 Reassigns benefits to 5 organizations
I20110201000579 MD Practitioner - Physician Assistant 9436052651 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095

12220 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 881-0103

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

201 Shorebird St
Suite B
Frederick, MD 21701-1962
Phone (240) 422-8112

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787

350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

500 Charles St
La Plata, MD 20646-5931
Phone (410) 451-1800

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6334 Cedar LN
Columbia, MD 21044-3898
Phone (410) 531-2487

6410 Rockledge Dr
Bethesda, MD 20817-1844

882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002353MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
WHC Physician Group LLC CurrentSince Aug 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
WHC Emerg Phys CurrentSince Aug 1, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Oct 16, 2010 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Brevard Emergency Services Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Silver Spring Emergency Physicians, P.C. Physician Assistant Past Accepting new patients
Mid-Atlantic Critical Care Services,L.L.C. Past Accepting new patients
Arnot Medical Services PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

201 Shorebird St
Ste B
Frederick, MD 21701
Phone (240) 422-8112

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

20 University Blvd E
Silver Spring, MD 20901
Phone (240) 863-2720

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: jgonella157885@direct.hopkinsmedicine.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437184744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PICCARD DRIVE",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504303",
            "telephone_number": "301-921-7900",
            "fax_number": "301-921-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CARROLL AVENUE",
            "address_2": "WASHINGTON ADVENTIST HOSPITAL",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "301-891-5070",
            "fax_number": "301-891-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONELLA",
        "first_name": "JON",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.