Individual provider Active NPI

Morgina Juliette Rao, PA-C

  • Medical Physician Assistant
  • Silver Spring, MD
National Provider Identifier
1730200122
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0001559 Issued in MD
Practice address
10750 Columbia Pike Ste 401
Silver Spring, MD 20901-4402
Phone
(301) 593-6072
Fax
(866) 382-1197
NPI assigned
Apr 3, 2007
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10003563 WA
Medical Physician Assistant 363AM0700X C0001559 MD Primary

Addresses

Primary practice location

10750 Columbia Pike Ste 401
Silver Spring, MD 20901-4402

Mailing address

9200 Edwards Way Apt 209
Adelphi, MD 20783-3455
Phone (240) 423-3729

Other identifiers 1

IdentifierTypeStateIssuer
C0001559OtherMDMARYLAND PA LICENSE

Other names 1

  • Ms. Morgina Juliette Paul Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56262CAMDPharmacist
C0001559MDMDMedical Physician Assistant
PA10003563WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Community Health Past Accepting new patients
Alpana Goswami MD PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Tri Cities Community Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mrao1141105@oc.providencedirect.org

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1730200122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 EDWARDS WAY APT 209",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207833455",
            "telephone_number": "240-423-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 COLUMBIA PIKE STE 401",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014402",
            "telephone_number": "301-593-6072",
            "fax_number": "866-382-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "MORGINA",
        "middle_name": "JULIETTE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003563",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0001559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PA LICENSE",
            "identifier": "C0001559",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGINA",
            "last_name": "PAUL",
            "middle_name": "JULIETTE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.