Active NPI
Jacquelyn B. Dunmore-Griffith, MD
- Radiation Oncology Physician
- Lanham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D0046901
- Practice address
- 8116 Good Luck Rd Ste LL05
Lanham, MD 20706-3502 - Phone
- (240) 542-3060
- Fax
- (240) 542-3061
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD20575 | DC | |
| Radiation Oncology Physician | 2085R0001X | D0046901 | MD | Primary |
Addresses
Primary practice location
8116 Good Luck Rd Ste LL05
Lanham, MD 20706-3502
Mailing address
PO Box 418837
Boston, MA 02241-8837
Phone (240) 542-3060
Other practice location 1
2041 Georgia Avenue NW Huh B810
Washington, DC 20060-3502
Phone (202) 865-1421
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500000901 | Medicaid | MD | |
| P00458394 | Other | MD | RAILROAD MEDICARE |
| 714014200 | Medicaid | MD | |
| 0002 | Other | MD | BCBS DC |
| 011624500 | Medicaid | DC | |
| 01178473 | Other | MD | AMERIGROUP PROVIDER # |
| 621105-03 | Other | MD | BCBS MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Howard University College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11340 Pembrooke SQ
Suite 201
Waldorf, MD 20603-4808
Phone (301) 705-5802
2041 Georgia Ave NW
Washington, DC 20060-0001
2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679
2101 Medical Park Dr
Suite 305
Silver Spring, MD 20902-4053
Phone (301) 754-0833
2121 Medical Park Dr
Suite 4
Silver Spring, MD 20902-4085
Phone (888) 846-5527
8116 Good Luck Rd
Suite LL05
Lanham, MD 20706-3502
Phone (888) 846-5527
Hospital & facility affiliations
- Howard University Hospital Corp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20575 | DC | MD | Radiation Oncology Physician |
| D0046901 | MD | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Radiation Medicine, PC | Radiation Oncology | Current | Accepting new patients |
| Howard University | Radiation Oncology | Current | Accepting new patients |
| Greenbelt Radiation Oncology Associates, LLC | Radiation Oncology | Past | Accepting new patients |
| Genesiscare USA of Prince Georges County, Maryland LLC | Radiation Oncology | Past | Accepting new patients |
| Medical Faculty Associates, Inc | Past | Accepting new patients |
Locations
2041 Georgia Ave NW
#B810
Washington, DC 20060
Phone (202) 865-1421
11105 Cathage Rd
Berlin, MD 21811
Phone (410) 641-9962
4831 Tesla Dr
Ste Ac
Bowie, MD 20715
Phone (301) 805-6860
8116 Good Luck Rd
Ste LL5
Lanham, MD 20706
Phone (240) 542-3060
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833
2121 Medical Park Dr
Ste 4
Silver Spring, MD 20902
Phone (301) 681-4422
11340 Pembrooke Sq
Ste 201
Waldorf, MD 20603
Phone (301) 705-5802
11006 Veirs Mill Rd
Wheaton, MD 20902
Phone (240) 489-6262
11006 Veirs Mill Rd
Ste L1
Wheaton, MD 20902
Phone (301) 681-4422
Interoperability endpoints
- jdunmoregriffith801503@direct.umm.edu
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.
-
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
-
- Radiation Oncology Physician
- Greenbelt, MD
- NPI 1508984097
-
- Radiation Oncology Physician
- Greenbelt, MD
- NPI 1063488385
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487740957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1831166487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418837",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418837",
"telephone_number": "240-542-3060",
"fax_number": "240-542-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8116 GOOD LUCK RD STE LL05",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063502",
"telephone_number": "240-542-3060",
"fax_number": "240-542-3061"
}
],
"practiceLocations": [
{
"address_1": "2041 Georgia Avenue NW Huh B810",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200603502",
"country_code": "US",
"telephone_number": "202-865-1421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNMORE-GRIFFITH",
"first_name": "JACQUELYN",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "DC",
"license": "MD20575",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0046901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500000901",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00458394",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "714014200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DC",
"identifier": "0002",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011624500",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PROVIDER #",
"identifier": "01178473",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MD",
"identifier": "621105-03",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.