Individual provider Active NPI

Lisa Kirsten Ely, MD

  • Obstetrics & Gynecology Physician
  • Silver Spring, MD
National Provider Identifier
1609286848
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0085795 Issued in MD
Practice address
1400 Forest Glen Rd Ste 500
Silver Spring, MD 20910
Phone
(301) 681-6772
Fax
(301) 681-3424
NPI assigned
Apr 28, 2014
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X D0085795 MD Primary

Addresses

Primary practice location

1400 Forest Glen Rd Ste 500
Silver Spring, MD 20910

Mailing address

1250 E. Marshall St.
Box 980034
Richmond, VA 23298
Phone (804) 828-9360

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
I20190117002790 DC Practitioner - Obstetrics/Gynecology 5890919831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Physicians Edge LLC CurrentSince Nov 28, 2018 Accepting new patients
Maryland Physicians Edge LLC Obstetrics & Gynecology CurrentSince Nov 28, 2018 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

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

Interoperability endpoints

  • Direct secure messaging: lisa.ely.1@8994.direct.athenahealth.com
  • Direct secure messaging: lisa.ely.2@8994.direct.athenahealth.com

Organizations & group practices 4

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1609286848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E. MARSHALL ST.",
            "address_2": "BOX 980034",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23298",
            "telephone_number": "804-828-9360",
            "fax_number": "804-828-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOREST GLEN RD STE 500",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-681-6772",
            "fax_number": "301-681-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "LISA",
        "middle_name": "KIRSTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0085795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.