Individual provider Active NPI

Juliette Anne Prust, M.D.

  • Obstetrics & Gynecology Physician
  • Silver Spring, MD
National Provider Identifier
1538485362
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D007772 Issued in MD
Practice address
10750 Columbia Pike Ste 500
Silver Spring, MD 20901-4463
Phone
(301) 681-6772
Fax
(301) 681-2773
NPI assigned
Apr 19, 2010
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D007772 MD Primary

Addresses

Primary practice location

10750 Columbia Pike Ste 500
Silver Spring, MD 20901-4463

Mailing address

10750 Columbia Pike Ste 700
Silver Spring, MD 20901-4461
Phone (804) 517-9830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20141112000919 DC Practitioner - Obstetrics/Gynecology 3375765381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth Univ School of Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Practice addresses (Care Compare)

12240 Indian Creek CT
130A
Beltsville, MD 20705-1242
Phone (301) 681-6722

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
83.16
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D007772MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince May 30, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince May 30, 2024 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Aug 8, 2014 Accepting new patients
Maryland Physicians Edge LLC Obstetrics & Gynecology CurrentSince Aug 8, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Holy Cross Health, Inc Past Accepting new patients

Locations

12240 Indian Creek Ct
Ste 130A
Beltsville, MD 20705
Phone (301) 453-5970

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

9715 Medical Center Dr
Ste 530
Rockville, MD 20850
Phone (240) 464-6642

10750 Columbia Pike
Ste 700
Silver Spring, MD 20901
Phone (301) 681-2618

1400 Forest Glen Rd
Ste 500
Silver Spring, MD 20910
Phone (301) 453-5970

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Interoperability endpoints

  • Direct secure messaging: juliette.prust.1@8994.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1538485362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 700",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014461",
            "telephone_number": "804-517-9830",
            "fax_number": "301-681-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 500",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014463",
            "telephone_number": "301-681-6772",
            "fax_number": "301-681-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUST",
        "first_name": "JULIETTE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D007772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.