Individual provider Active NPI

Eduardo B Flores, MD

  • Internal Medicine Physician
  • Riverdale, MD
National Provider Identifier
1821081449
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D14222 Issued in MD
Practice address
5711 Sarvis Ave
Riverdale, MD 20737-1394
Phone
(301) 864-7444
Fax
(301) 864-0712
NPI assigned
Aug 30, 2005
Last updated
May 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D14222 MD Primary

Addresses

Primary practice location

5711 Sarvis Ave
Riverdale, MD 20737-1394

Mailing address

5804 Baltimore Ave
Hyattsville, MD 20781-1623
Phone (301) 927-7800

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
I20100616000105 DC Practitioner - Internal Medicine 3375673411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
San Juan Bautista School of Medicine, 1958
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
J Richard Lilly MD Abfp CHTDGroup PAC ID 6103896386, 9 clinicians

Practice addresses (Care Compare)

5804 Baltimore Ave
Hyattsville, MD 20781-1623
Phone (301) 927-7800

Merit-based Incentive Payment System (MIPS)

Final score
94.33 of 100Reported as group
Quality
82.98
Improvement activities
40
Cost
87.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D14222MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Richard Lilly MD Shaaron R Towns MD and Associates PC CurrentSince Jul 2, 1991 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5804 Baltimore Ave
Hyattsville, MD 20781
Phone (301) 927-7800

5711 Sarvis Ave
Riverdale, MD 20737
Phone (301) 277-3331

5711 Sarvis Ave
Ste 302
Riverdale, MD 20737
Phone (301) 927-7800

Interoperability endpoints

  • Direct secure messaging: eduardoflores@jrlmd.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1821081449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 BALTIMORE AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811623",
            "telephone_number": "301-927-7800",
            "fax_number": "301-927-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371394",
            "telephone_number": "301-864-7444",
            "fax_number": "301-864-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "EDUARDO",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D14222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

Verify at the official NPI Registry.