Individual provider Active NPI

John Joseph Digiovanni Jr., D.O.

  • Family Medicine Physician
  • Frederick, MD
National Provider Identifier
1538422308
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0093323 Issued in MD
Practice address
56 Thomas Johnson Dr
Frederick, MD 21702-4599
Phone
(301) 694-3111
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS1559 HI
Family Medicine Physician 207Q00000X H0093323 MD Primary

Addresses

Primary practice location

56 Thomas Johnson Dr
Frederick, MD 21702-4599

Mailing address

56 Thomas Johnson Dr
Frederick, MD 21702-4599
Phone (301) 694-3111

Other practice location 1

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Amc, HI 96859-5001
Phone (808) 433-3300

Other practice location 2

786 D Street
Jber, AK 99505
Phone (907) 384-8153

Other practice location 3

4076 Neely Rd.
Bldg 4076, Room 3C-40
Ft Wainwright, AK 99703-7440
Phone (907) 384-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220711001011 MD Practitioner - Family Practice 7719367556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

56 Thomas Johnson Dr
Frederick, MD 21702-4599
Phone (301) 694-3111

610 Solarex CT
Frederick, MD 21703-8624
Phone (301) 682-5500

Hospital & facility affiliations

  • Frederick Health Home Care Home health agency, Frederick, MD, CCN 217034
  • Frederick Health Hospice Hospice, Frederick, MD, CCN 211516
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS1559HIMDFamily Medicine Physician
H0093323MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 30, 2022 Accepting new patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince May 30, 2022 Accepting new patients
Privia Care Center LLC CurrentSince May 30, 2022 Accepting new patients
Privia Care Center LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

610 Solarex Ct
Frederick, MD 21703
Phone (301) 663-6162

56 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 662-3660

56 Thomas Johnson Dr
Ste 200
Frederick, MD 21702
Phone (301) 694-3111

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.digiovanni.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1538422308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024599",
            "telephone_number": "301-694-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024599",
            "telephone_number": "301-694-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler Amc",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "786 D Street",
            "address_purpose": "LOCATION",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99505",
            "country_code": "US",
            "telephone_number": "907-384-8153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4076 Neely Rd.",
            "address_2": "Bldg 4076, Room 3C-40",
            "address_purpose": "LOCATION",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997037440",
            "country_code": "US",
            "telephone_number": "907-384-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS1559",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0093323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.