Active NPI
Jason M Lee-Llacer, MD
- Internal Medicine Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0064818
- Practice address
- 2001 Medical Pkwy
Acute Care Pavilion
Annapolis, MD 21401-3280 - Phone
- (443) 481-1000
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0064818 | MD | Primary |
Addresses
Primary practice location
2001 Medical Pkwy
Acute Care Pavilion
Annapolis, MD 21401-3280
Mailing address
PO Box 64916
Baltimore, MD 21264-4916
Phone (443) 481-6467
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206362 | Other | JHHC | |
| 0042 | Other | CAREFIRST | |
| 89550101 | Other | CAREFIRST | |
| 145724700 | Other | DEPT. OF LABOR | |
| 263508 | Other | KAISER | |
| 1503640 | Other | AETNA HMO | |
| 318699 | Other | AMERIGROUP | |
| 412132500 | Medicaid | MD | |
| 7132906 | Other | AETNA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Dimensions Health Associates Dba University of Maryland Capital Region | Internal Medicine | Current | Accepting new patients |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Sirj, LLC | Internal Medicine | Past | Accepting new patients |
| Anne Arundel Medical Center Inc | Past | Accepting new patients | |
| Luminis Health Doctors Community Medical Center, Inc. | Past | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients | |
| Anne Arundel Medical Center Inc | Past | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
9210 Corporate Blvd
Ste 210
Rockville, MD 20850
Phone (301) 921-7900
7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
Organizations & group practices 14
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.
-
dba Luminis Health Maternal and Fetal Medicine
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
dba PGHC Anesthesia Associates
- Anesthesiology Physician
- Largo, MD
- NPI 1346354834
DC
-
dba Annapolis Surgical Oncology Associates
- Surgery Physician
- Annapolis, MD
- NPI 1649248485
DC
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, MD
-
- Critical Care Medicine (Internal Medicine) Physician
- Laurel, MD
- NPI 1467745521
-
dba University of Maryland Capital Region Health Medical Group
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1407486293
-
dba Anne Arundel Medical Group - Cardiology Specialists
- Cardiovascular Disease Physician
- Clinton, MD
- NPI 1265852750
-
dba Intensivists
- Critical Care Medicine (Internal Medicine) Physician
- Annapolis, MD
- NPI 1285953182
-
dba LH Primary Care North Hanson
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
dba AAMC Adult Hospitalists
- General Acute Care Hospital
- Annapolis, MD
- NPI 1285601369
-
dba Intensivists
- General Acute Care Hospital
- Annapolis, MD
- NPI 1528036290
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1497810378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64916",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644916",
"telephone_number": "443-481-6467",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY",
"address_2": "ACUTE CARE PAVILION",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013280",
"telephone_number": "443-481-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE-LLACER",
"first_name": "JASON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0064818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC",
"identifier": "206362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "0042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "89550101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR",
"identifier": "145724700",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "263508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1503640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "318699",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "412132500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7132906",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.