NPIMap

Individual provider Active NPI

Jonah N.K. Odim, MD, PHD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rockville, MD
National Provider Identifier
1811000565
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
D0065408 Issued in MD
Practice address
9801 Traville Commons Dr
The Jnko Group, LLC Suite 302
Rockville, MD 20850-7493
Phone
(301) 340-2823
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G83772 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0065408 MD
Surgical Critical Care Physician 2086S0102X D0065408 MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D0065408 MD Primary

Addresses

Primary practice location

9801 Traville Commons Dr
The Jnko Group, LLC Suite 302
Rockville, MD 20850-7493

Mailing address

9801 Traville Commons Dr
The Jnko Group, LLC Suite 302
Rockville, MD 20850-7493
Phone (301) 340-2823

Other identifiers 1

IdentifierTypeStateIssuer
00G837720OtherCAMEDICAL PPIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065408MDMDSurgical Critical Care Physician
G83772CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intensimed, LLC Critical Care Medicine Past Accepting new patients

Organizations & group practices 1

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1811000565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 TRAVILLE COMMONS DR",
            "address_2": "THE JNKO GROUP, LLC SUITE 302",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507493",
            "telephone_number": "301-340-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 TRAVILLE COMMONS DR",
            "address_2": "THE JNKO GROUP, LLC SUITE 302",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507493",
            "telephone_number": "301-340-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIM",
        "first_name": "JONAH",
        "middle_name": "N.K.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G83772",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0065408",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MD",
            "license": "D0065408",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0065408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00G837720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.