Active NPI
James D Telep, M.D.
- Pediatric Cardiology Physician
- Annapolis, MD
National Provider Identifier
1871555474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- D0062996
- Practice address
- 2024 West Street
Suite 304
Annapolis, MD 21401-0001 - Phone
- (443) 598-2480
- Fax
- (410) 394-0666
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 0101238085 | VA | |
| Pediatric Cardiology Physician | 2080P0202X | C10011073 | DE | |
| Pediatric Cardiology Physician | 2080P0202X | MD33874 | DC | |
| Pediatric Cardiology Physician | 2080P0202X | D0062996 | MD | Primary |
Addresses
Primary practice location
2024 West Street
Suite 304
Annapolis, MD 21401-0001
Mailing address
2024 West Street
Suite 304
Annapolis, MD 21401-0001
Phone (443) 598-2480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010172900 | Medicaid | VA | |
| 403321300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10011073 | DE | MD | Pediatric Cardiology Physician |
| D0062996 | MD | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Pediatric Cardiology of Maryland | Pediatric Cardiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Cardiology Physician
- Salisbury, MD
- NPI 1164278735
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1871555474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 WEST STREET",
"address_2": "SUITE 304",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214010001",
"telephone_number": "443-598-2480",
"fax_number": "410-394-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 WEST STREET",
"address_2": "SUITE 304",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214010001",
"telephone_number": "443-598-2480",
"fax_number": "410-394-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELEP",
"first_name": "JAMES",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "VA",
"license": "0101238085",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "DE",
"license": "C10011073",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "DC",
"license": "MD33874",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MD",
"license": "D0062996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010172900",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403321300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.