Active NPI
Marili Lemus
- Physician Assistant
- Nottingham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0009273
- Practice address
- 8100 Sandpiper Cir Ste 308
Nottingham, MD 21236-4992 - Phone
- (410) 918-0777
- Fax
- (866) 701-4905
- NPI assigned
- Sep 25, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0009273 | MD | Primary |
Addresses
Primary practice location
8100 Sandpiper Cir Ste 308
Nottingham, MD 21236-4992
Mailing address
5911 Charles St
Gwynn Oak, MD 21207-4810
Phone (443) 562-2729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240625004421 | MD | Practitioner - Physician Assistant | 2567906084 | Reassigns benefits to 1 organization |
| I20240626004496 | DC | Practitioner - Physician Assistant | 2567906084 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Doctors First, LLCAmber Hill Physical Therapy Inc
Practice addresses (Care Compare)
12800 Middlebrook Rd
Suite 400
Germantown, MD 20874-5282
Phone (301) 515-2901
187 Thomas Johnson Dr
Frederick, MD 21702-4503
8600 Snowden River Pkwy
Suite 207
Columbia, MD 21045-1985
Phone (301) 515-2901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0009273 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors First, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
8600 Snowden River Pkwy
Ste 207
Columbia, MD 21045
Phone (301) 595-2901
806 W Diamond Ave
Ste 110
Gaithersburg, MD 20878
Phone (240) 342-2407
12800 Middlebrook Rd
Ste 400
Germantown, MD 20874
Phone (240) 217-7794
8100 Sandpiper Cir
Ste 308
Nottingham, MD 21236
Phone (410) 918-0777
Interoperability endpoints
- marili.lemus.1@4332.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
-
- 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": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1992584536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5911 CHARLES ST",
"city": "GWYNN OAK",
"state": "MD",
"postal_code": "212074810",
"telephone_number": "443-562-2729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 SANDPIPER CIR STE 308",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212364992",
"telephone_number": "410-918-0777",
"fax_number": "866-701-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMUS",
"first_name": "MARILI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0009273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.