Active NPI
T. Ann Tonnu, M.D., LLC
- Specialist
- Gaithersburg, MD
National Provider Identifier
1811170954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0047295
- Legal business name
- T. ANN TONNU, M.D., LLC
- Practice address
- 9057 Shady Grove CT
Gaithersburg, MD 20877-1301 - Phone
- (301) 721-1614
- Fax
- (301) 721-1624
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tuanh Tonnu, M.D.
- Title
- Owner
- Phone
- (301) 721-1614
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0047295 | MD | Primary |
Addresses
Primary practice location
9057 Shady Grove CT
Gaithersburg, MD 20877-1301
Mailing address
9057 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 721-1614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695400600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9057 Shady Grove Ct
Gaithersburg, MD 20877
Phone (301) 721-1614
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197417600000",
"number": "1811170954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9057 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "301-721-1614",
"fax_number": "301-721-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9057 SHADY GROVE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208771301",
"telephone_number": "301-721-1614",
"fax_number": "301-721-1624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T. ANN TONNU, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2007-12-12",
"status": "A",
"authorized_official_last_name": "TONNU",
"authorized_official_first_name": "TUANH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-721-1614",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0047295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "695400600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.