Active NPI
Lila Teresa McConnell, MD
- Internal Medicine Physician
- Chevy Chase, MD
National Provider Identifier
1952322950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D39456
- Practice address
- 5530 Wisconsin Ave
Suite 1445
Chevy Chase, MD 20815 - Phone
- (301) 634-1346
- Fax
- (240) 330-4275
- NPI assigned
- Jul 22, 2006
- Last updated
- Apr 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D39456 | MD | Primary |
| Internal Medicine Physician | 207R00000X | 12657 | DC |
Addresses
Primary practice location
5530 Wisconsin Ave
Suite 1445
Chevy Chase, MD 20815
Mailing address
5530 Wisconsin Ave
Suite 1445
Chevy Chase, MD 20815
Phone (301) 634-1346
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101011000762 | DC | Practitioner - Internal Medicine | 6507058492 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12657 | DC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Center PA | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5530 Wisconsin Ave
Ste 1400
Chevy Chase, MD 20815
Phone (301) 656-9170
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chevy Chase, MD
- NPI 1962539056
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1952322950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE",
"address_2": "SUITE 1445",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "20815",
"telephone_number": "301-634-1346",
"fax_number": "240-330-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 WISCONSIN AVE",
"address_2": "SUITE 1445",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "20815",
"telephone_number": "301-634-1346",
"fax_number": "240-330-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "LILA",
"middle_name": "TERESA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D39456",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "12657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chevy Chase, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.