Jorge A Mondino, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0024059 Issued in MD

Practice address

6192 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-3114

Phone

(301) 567-7200

Fax

(301) 567-2728

NPI assigned

Jul 7, 2005

Reactivated

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Greater Washington Medicenter LLC. T/a Healthcare of Greater Washingto

  • Legal Medicine
  • Oxon Hill, MD
  • NPI 1366517013

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1770580680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6192 OXON HILL RD",
            "address_2": "SUITE 200",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453114",
            "telephone_number": "301-567-2330",
            "fax_number": "301-567-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6192 OXON HILL RD",
            "address_2": "SUITE 200",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453114",
            "telephone_number": "301-567-7200",
            "fax_number": "301-567-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDINO",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-05-03",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0024059",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101032472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00643431",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy L Mitchell, DDS
• Mahmood Mohamadi, M.D.
• Sachin Mohan
• Fatima A Mohiuddin, M.D.
• Blanche Mokoso, FNP
• Julius Diaga Monkam
• Quentin E Monroe, DDS
• Moore OBGYN LLC
• Jermaun Moore, LICSW, LCSW-C, LCSW
• Myra O'Brien Moore

• Orthopaedic Surgery Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.