Active NPI
Hongloan Thi La, M.D.
- Pediatrics Physician
- Gaithersburg, MD
National Provider Identifier
1932594652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0084909
- Practice address
- 12 Middlebury CT
Gaithersburg, MD 20878-4506 - Phone
- (301) 676-1671
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0084909 | MD | Primary |
Addresses
Primary practice location
12 Middlebury CT
Gaithersburg, MD 20878-4506
Mailing address
12 Middlebury CT
Gaithersburg, MD 20878-4506
Phone (301) 676-1671
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0084909 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Emergency Associates LLC | Current | Accepting new patients |
Locations
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
Interoperability endpoints
- hla515755@direct.hopkinsmedicine.org
Organizations & group practices 1
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": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1932594652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MIDDLEBURY CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208784506",
"telephone_number": "301-676-1671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 MIDDLEBURY CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208784506",
"telephone_number": "301-676-1671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "HONGLOAN",
"middle_name": "THI",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0084909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.