Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John DO

Individual provider Internal Medicine Physician · NPI 1346990652

John DO is a Family Practice in Frederick, Maryland. Qualified in 2022, 4 years ago. Practices with Privia Care Center LLC, a 287-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2022
Specialties on file
3

Practice location Address checks out

141 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4509
Phone: (301) 228-9123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9300 W Sunset Rd, Las Vegas, NV 89148-4844 — (702) 916-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence H0102911 (MD)
Internal Medicine Physician Taxonomy 207R00000X · Licence H0102911 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346990652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address141 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4509

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Privia Care Center Llc — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Frederick