Individual provider Active NPI

Deborah Anniece Willis-Fillinger, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1447503503
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.067833 Issued in IL
Practice address
10610 Meadowhill Rd
Silver Spring, MD 20901-1526
Phone
(773) 793-0353
NPI assigned
Oct 25, 2012
Last updated
Oct 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.067833 IL Primary

Addresses

Primary practice location

10610 Meadowhill Rd
Silver Spring, MD 20901-1526

Mailing address

10610 Meadowhill Rd
Silver Spring, MD 20901-1526
Phone (773) 793-0353

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.067833ILMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1447503503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 MEADOWHILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011526",
            "telephone_number": "773-793-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 MEADOWHILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011526",
            "telephone_number": "773-793-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS-FILLINGER",
        "first_name": "DEBORAH",
        "middle_name": "ANNIECE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.067833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.