Individual provider Active NPI

Justine J. Somoza, M.D.

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
National Provider Identifier
1770784209
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0076622 Issued in MD
Practice address
2000 Medical Parkway
Suite 306
Annapolis, MD 21401
Phone
(410) 571-9700
Fax
(410) 571-9710
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0076622 MD Primary

Addresses

Primary practice location

2000 Medical Parkway
Suite 306
Annapolis, MD 21401

Mailing address

2000 Medical Parkway
Suite 306
Annapolis, MD 21401
Phone (410) 571-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20241004000479 MD Practitioner - Obstetrics/Gynecology 3173655479 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0076622MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 4, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 4, 2024 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology Current Accepting new patients
Chesapeake Women'S Care, P.a. Past Accepting new patients
Health Sciences Foundation Inc. Obstetrics & Gynecology Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 306
Annapolis, MD 21401
Phone (410) 571-9700

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

2401 Brandermill Blvd
Ste 310
Gambrills, MD 21054
Phone (410) 451-7952

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: justine.somoza.1@8042.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1770784209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PARKWAY",
            "address_2": "SUITE 306",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-571-9700",
            "fax_number": "410-571-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PARKWAY",
            "address_2": "SUITE 306",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-571-9700",
            "fax_number": "410-571-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOZA",
        "first_name": "JUSTINE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0076622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.