Individual provider Active NPI

Marion Wendy Koso-Thomas, M.D

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1467674937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD0056182 Issued in MD
Practice address
3815 Terrawood CT
Rockville, MD 20853-3288
Phone
(301) 570-4064
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

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
Pediatrics Physician 208000000X MD0056182 MD Primary

Addresses

Primary practice location

3815 Terrawood CT
Rockville, MD 20853-3288

Mailing address

3815 Terrawood CT
Rockville, MD 20853-3288
Phone (301) 570-4064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NC, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120627000332 DC Practitioner - Pediatric Medicine 1850556770 Reassigns benefits to 1 organization
I20180227001585 MD Practitioner - Pediatric Medicine 1850556770 Reassigns benefits to 1 organization
I20230816002172 NC Practitioner - Pediatric Medicine 1850556770 Reassigns benefits to 1 organization
I20251008003517 VA Practitioner - Pediatric Medicine 1850556770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 Seven Springs Way
Brentwood, TN 37027-5098

3416 Valley Brook Rd
Nashville, TN 37215-2021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0056182MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goddard Health Services Inc Current Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Jul 21, 2023 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Danville Physician Practices LLC Pediatrics CurrentSince Jun 28, 2025 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Jul 21, 2023 Accepting new patients
MGMC, LLC CurrentSince Jan 20, 2018 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Danville Physician Practices LLC CurrentSince Jun 28, 2025 Accepting new patients
Raleigh General Hospital LLC Past Accepting new patients
Mep Health, LLC Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

201 S Main St
Ste 2100
Danville, VA 24541
Phone (434) 799-2111

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: marion.koso-thomas.1@20247.direct.athenahealth.com

Organizations & group practices 10

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467674937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 TERRAWOOD CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533288",
            "telephone_number": "301-570-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 TERRAWOOD CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533288",
            "telephone_number": "301-570-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSO-THOMAS",
        "first_name": "MARION",
        "middle_name": "WENDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "MD0056182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.