Individual provider Active NPI

Priya Ponnaiyan, MD

  • Family Medicine Physician
  • Oxon Hill, MD
National Provider Identifier
1922568096
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0095141 Issued in MD
Practice address
251 National Harbor Blvd Ste 500
Oxon Hill, MD 20745-1052
Phone
(301) 686-3404
Fax
(301) 686-3407
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0095141 MD Primary

Addresses

Primary practice location

251 National Harbor Blvd Ste 500
Oxon Hill, MD 20745-1052

Mailing address

251 National Harbor Blvd Ste 500
Oxon Hill, MD 20745-1052
Phone (301) 686-3404

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
I20230310001202 DC Practitioner - Family Practice 5193198240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dimensions Healthcare Associates, IncGroup PAC ID 1557269743, 198 clinicians

Practice addresses (Care Compare)

251 National Harbor Blvd
FL 5
Oxon Hill, MD 20745-1052
Phone (301) 618-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0095141MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Mar 1, 2023 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Mar 1, 2023 Accepting new patients
Dimensions Healthcare Associates Inc Past Accepting new patients
University of Maryland Community Medical Group, Inc. Family Medicine PastSince Mar 16, 2026 Accepting new patients

Locations

2900 Mercy Ln
Fl 3
Cheverly, MD 20785
Phone (301) 618-6882

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

7150 Contee Rd
Ste 1C100
Laurel, MD 20707

7150 Contee Rd
Laurel, MD 20707
Phone (240) 677-7200

7150 Contee Rd
Ste 1B100
Laurel, MD 20707
Phone (240) 677-7250

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

251 National Harbor Blvd
Ste 500
Oxon Hill, MD 20745
Phone (301) 321-1122

251 National Harbor Blvd
Fl 5
Oxon Hill, MD 20745
Phone (301) 618-2273

Organizations & group practices 5

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1922568096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 NATIONAL HARBOR BLVD STE 500",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451052",
            "telephone_number": "301-686-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 NATIONAL HARBOR BLVD STE 500",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451052",
            "telephone_number": "301-686-3404",
            "fax_number": "301-686-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONNAIYAN",
        "first_name": "PRIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0095141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.