Individual provider Active NPI

Diana Juliano, M.D.

  • Family Medicine Physician
  • Frederick, MD
National Provider Identifier
1932190485
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0061071 Issued in MD
Practice address
3430 Worthington Blvd
Suite 103
Frederick, MD 21704-7017
Phone
(240) 215-6900
Fax
(240) 436-6300
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 D0061071 MD Primary

Addresses

Primary practice location

3430 Worthington Blvd
Suite 103
Frederick, MD 21704-7017

Mailing address

610 Solarex CT
Frederick, MD 21703-8624

Other identifiers 2

IdentifierTypeStateIssuer
926580505MedicaidMD
926580509MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040225000382 MD Practitioner - Family Practice 5597651729 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061071MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Nov 5, 2018 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Nov 12, 2016 Accepting new patients
Privia Care Center LLC Current Accepting new patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 12, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

610 Solarex Ct
Frederick, MD 21703
Phone (301) 663-6162

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

3430 Worthington Blvd
Ste 103
Frederick, MD 21704
Phone (240) 215-6900

610 Solarex Ct
#2
Frederick, MD 21703

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1932190485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOLAREX CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 WORTHINGTON BLVD",
            "address_2": "SUITE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047017",
            "telephone_number": "240-215-6900",
            "fax_number": "240-436-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIANO",
        "first_name": "DIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "926580505",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "926580509",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.