Drake Hamilton Tilley Jr., M.D. M.P.H.&T.M.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

0101233383 Issued in VA

Practice address

695 Kinkaid Rd
Annapolis, MD 21402-1006

Phone

(410) 293-7920

Fax

(410) 293-3546

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1750376950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 KINKAID RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214021006",
            "telephone_number": "410-293-7920",
            "fax_number": "410-293-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 KINKAID RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214021006",
            "telephone_number": "410-293-7920",
            "fax_number": "410-293-3546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 Wisconsin Avenue",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890001",
            "country_code": "US",
            "telephone_number": "301-295-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "DRAKE",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.  M.P.H.&T.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101233383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Thurmond, PTA
• Victoria Thursby
• Kyleen Tice, PT
• Eileen S Tidd, M.D.
• Douglas Gilbert Tilley II, LCSW-C
• Titus C. Abraham, MD, LLC
• Alexandria Titus, RBT
• Bhagawati Tiwari
• TLC the Laser Center (Annapolis) Inc. (TLC Laser Eye Centers Annapolis)
• Kevin G Tobin

• Infectious Disease Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Infectious Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.