Individual provider Active NPI

Marili Lemus

  • Physician Assistant
  • Nottingham, MD
National Provider Identifier
1992584536
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009273 Issued in MD
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

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 3870661978, 58 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

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

LicenseStateTypeSpecialty
C0009273MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors First, LLC CurrentSince May 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.