NPIMap

Individual provider Active NPI

Jonathan Sanders Plotsky, MD

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1487642872
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0038589 Issued in MD
Practice address
15225 Shady Grove Rd
Ste 102
Rockville, MD 20850-3254
Phone
(301) 330-0661
Fax
(301) 977-6940
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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 D0038589 MD Primary

Addresses

Primary practice location

15225 Shady Grove Rd
Ste 102
Rockville, MD 20850-3254

Mailing address

14705 Mentmore PL
North Potomac, MD 20878-2577
Phone (301) 294-1306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000534 DC Practitioner - Internal Medicine 2567547789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plotsky Medical Associates PCGroup PAC ID 0840375069, 4 clinicians

Practice addresses (Care Compare)

15225 Shady Grove Rd
Rockville, MD 20850-3281
Phone (301) 330-0661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0038589MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plotsky Medical Associates PC Internal Medicine CurrentSince Jul 1, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

15225 Shady Grove Rd
Ste 102
Rockville, MD 20850
Phone (301) 330-0661

15225 Shady Grove Rd
Rockville, MD 20850
Phone (301) 330-0200

Interoperability endpoints

  • Direct secure messaging: plotskymedical.jonathanplotsky@127521.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1487642872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14705 MENTMORE PL",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782577",
            "telephone_number": "301-294-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD",
            "address_2": "STE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503254",
            "telephone_number": "301-330-0661",
            "fax_number": "301-977-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTSKY",
        "first_name": "JONATHAN",
        "middle_name": "SANDERS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0038589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.