Tifani Davis Gilliam, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD035810 Issued in DC

Practice address

2121 Medical Park Dr
Ste 3
Silver Spring, MD 20902-4054

Phone

(301) 681-3003

NPI assigned

Jul 18, 2006

Last updated

Jan 20, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Imaging of Silver Spring LLC

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1801075882
  NPD (past)
• Clinical Radiologists Medical Imaging PA

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1871503912
  NPD (past)
• Diagnostic Medical Imaging PA

  • Diagnostic Radiology Physician
  • Silver Spring, MD
  • NPI 1962412007
  NPD (past)
• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1952320459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MEDICAL PARK DR",
            "address_2": "STE 3",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024054",
            "telephone_number": "301-681-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "TIFANI",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD035810",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D66654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410243601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Giles, PA-C
• Chrystina Maria Gilgeous, M. AC
• Shaakira Renee Gill
• Dana Gillespie
• Elizabeth Gilliam-Hertz, MD
• Rebecca Gilligan
• Rupert Neiko Gillin, DDS
• Curshara Gilmore
• Agnes Gilson
• Kathryn Gingles, LGPC

• Diagnostic Radiology Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.