Individual provider Active NPI

Lucia Maria Novak, NP

  • Adult Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1851361182
Registry record updated Mar 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R141911 Issued in MD
Practice address
2101 Medical Park Dr Ste 211
Silver Spring, MD 20902-4053
Phone
(301) 836-9900
Fax
(301) 836-9910
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R141911 MD Primary

Addresses

Primary practice location

2101 Medical Park Dr Ste 211
Silver Spring, MD 20902-4053

Mailing address

11619 Hitching Post LN
Rockville, MD 20852-4403
Phone (301) 693-3392

Other practice location 1

6510 Kenilworth Ave
Suite 1200
Riverdale, MD 20737-1339
Phone (301) 927-0088

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616001977 DC Practitioner - Nurse Practitioner 8123201084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Diabetes and Endocrine Associates LLCGroup PAC ID 7214299502, 13 clinicians

Practice addresses (Care Compare)

2101 Medical Park Dr
Suite 211
Silver Spring, MD 20902-4053
Phone (301) 899-7713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Diabetes & Endocrine Associates LLC CurrentSince Feb 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2101 Medical Park Dr
Ste 211
Silver Spring, MD 20902
Phone (301) 589-3277

5801 Allentown Rd
Ste 500
Suitland, MD 20746
Phone (301) 899-7713

Interoperability endpoints

  • Direct secure messaging: lucia.novak@cdea.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1851361182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11619 HITCHING POST LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524403",
            "telephone_number": "301-693-3392",
            "fax_number": "878-201-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MEDICAL PARK DR STE 211",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024053",
            "telephone_number": "301-836-9900",
            "fax_number": "301-836-9910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 Kenilworth Ave",
            "address_2": "SUITE 1200",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "207371339",
            "country_code": "US",
            "telephone_number": "301-927-0088",
            "fax_number": "301-927-8933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "LUCIA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R141911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.