Individual provider Active NPI

Frank J Mayo, MD

  • Pulmonary Disease Physician
  • Gaithersburg, MD
National Provider Identifier
1811991144
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D23630 Issued in MD
Practice address
16220 S Frederick Ave
Ste 213
Gaithersburg, MD 20877-4017
Phone
(301) 963-2770
Fax
(301) 258-0083
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X D23630 MD Primary

Addresses

Primary practice location

16220 S Frederick Ave
Ste 213
Gaithersburg, MD 20877-4017

Mailing address

16220 S Frederick Ave
Ste 213
Gaithersburg, MD 20877-4017
Phone (301) 963-2770

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100310000746 DC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3971515842 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pulmonary Disease CurrentSince Sep 11, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 11, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

16220 Frederick Rd
Ste 213
Gaithersburg, MD 20877
Phone (301) 942-2977

10605 Concord St
Ste 500
Kensington, MD 20895
Phone (301) 942-2977

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

Organizations & group practices 3

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1811991144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 S FREDERICK AVE",
            "address_2": "STE 213",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774017",
            "telephone_number": "301-963-2770",
            "fax_number": "301-258-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 S FREDERICK AVE",
            "address_2": "STE 213",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774017",
            "telephone_number": "301-963-2770",
            "fax_number": "301-258-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "FRANK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D23630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.