Active NPI
Diana Juliano, M.D.
- Family Medicine Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0061071
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 926580505 | Medicaid | MD | |
| 926580509 | Medicaid | MD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061071 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Family Medicine | Current | 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 | Current | 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.
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-
- Internal Medicine Physician
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-
- Pain Medicine (Psychiatry & Neurology) Physician
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-
- General Acute Care Hospital
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- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.