Individual provider Active NPI

Jacquelyn B. Dunmore-Griffith, MD

  • Radiation Oncology Physician
  • Lanham, MD
National Provider Identifier
1831166487
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
D0046901 Issued in MD
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

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500000901MedicaidMD
P00458394OtherMDRAILROAD MEDICARE
714014200MedicaidMD
0002OtherMDBCBS DC
011624500MedicaidDC
01178473OtherMDAMERIGROUP PROVIDER #
621105-03OtherMDBCBS MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040415000174 MD Practitioner - Radiation Oncology 5890780472 Reassigns benefits to 1 organization
I20050829001060 DC Practitioner - Radiation Oncology 5890780472 Reassigns benefits to 2 organizations
I20260427000177 VI Practitioner - Radiation Oncology 5890780472 Reassigns benefits to 1 organization

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
Associates in Radiation Medicine, PCGroup PAC ID 6204826332, 12 clinicians
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

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 Hospital, Washington, DC, CCN 090003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20575DCMDRadiation Oncology Physician
D0046901MDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Radiation Medicine, PC Radiation Oncology CurrentSince Feb 8, 2016 Accepting new patients
Howard University Radiation Oncology CurrentSince Apr 1, 2013 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.