Individual provider Active NPI

Lorraine Cheryl Pelosof, M.D.

  • Hospitalist Physician
  • Silver Spring, MD
National Provider Identifier
1902006414
Registry record updated Apr 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD044884 Issued in DC
Practice address
Fda 10903 New Hampshire Ave
Cder/Ohop/Dop2/Building 22
Silver Spring, MD 20993-5347
Phone
(240) 402-6469
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N6960 TX
Hematology & Oncology Physician 207RH0003X N6960 TX
Hospitalist Physician 208M00000X MD044884 DC Primary

Addresses

Primary practice location

Fda 10903 New Hampshire Ave
Cder/Ohop/Dop2/Building 22
Silver Spring, MD 20993-5347

Mailing address

Fda 10903 New Hampshire Ave
Cder/Ohop/Dop2/Building 22
Silver Spring, MD 20993-5347
Phone (240) 402-6469

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
I20170503001331 DC Practitioner - Internal Medicine 5890975668 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

Hospital & facility affiliations

  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N6960TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 9, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2021 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
MGMC, LLC CurrentSince Mar 9, 2017 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

Organizations & group practices 4

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556409600000",
    "number": "1902006414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FDA 10903 NEW HAMPSHIRE AVE",
            "address_2": "CDER/OHOP/DOP2/BUILDING 22",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209935347",
            "telephone_number": "240-402-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FDA 10903 NEW HAMPSHIRE AVE",
            "address_2": "CDER/OHOP/DOP2/BUILDING 22",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209935347",
            "telephone_number": "240-402-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOSOF",
        "first_name": "LORRAINE",
        "middle_name": "CHERYL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2019-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6960",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "N6960",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DC",
            "license": "MD044884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.