Wilkinson Jesudas Ninala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0045285 Issued in MD

Practice address

831 University Blvd E Ste 37
Silver Spring, MD 20903-2915

Phone

(301) 328-7155

Fax

(301) 328-7182

NPI assigned

Dec 11, 2006

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Frontline Community Services Inc

  dba Frontline Community Services

  • Case Management Agency
  • Beltsville, MD
  • NPI 1700012101

  DC, Internal Medicine

  Medicare reassignment NPD
• WJWR Physicians Associates Inc

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1154551596
  Authorized official Same address or phone
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1760542740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E STE 37",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032915",
            "telephone_number": "301-328-7155",
            "fax_number": "301-328-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E STE 37",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032915",
            "telephone_number": "301-328-7155",
            "fax_number": "301-328-7182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12534 Grey Fox Ln",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208541907",
            "country_code": "US",
            "telephone_number": "301-873-9194",
            "fax_number": "240-428-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NINALA",
        "first_name": "WILKINSON",
        "middle_name": "JESUDAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0045285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601181100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nima Raoufinia DDS LLC
• Nima S Moainie PLLC
• Nima S Moainie PLLC
• Abigayle Nimmich
• Kimberly Ann Halman Nimmons, LCPC
• Jiji John Ninan, NP
• Siobhan Ellen Nine, LCPC
• Alba Nino
• Ange Crysale Deussi Nitcheu
• Jacob Anthony Nix, DMD

• Internal Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.