Active NPIIndividual provider

Dr. Derrick Thiel, MD

Family Medicine in Fort Meade, Maryland

NPI Number1174936181
Practice location
Usameddac 2480 Llewellyn Ave, Fort Meade, MD 20755
Fax
—
Last updated
July 25, 2025

Derrick Thiel is a Family Medicine based in Fort Meade, MD. Derrick Thiel practices in Fort Meade, MD and has the professional credentials of MD. The NPI Number for Derrick Thiel is 1174936181 and holds a License No. 0101258845 (VA). The current practice location address for Derrick Thiel is Usameddac 2480 Llewellyn Ave, Fort Meade, MD 20755 and can be reached out via phone at 703-696-3942.

Provider Profile Details

NPI Number
1174936181
Provider Name
Derrick Thiel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Usameddac 2480 Llewellyn Ave, Fort Meade, MD 20755
Phone Number
703-696-3942
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 6, 2014
Last Update Date
July 25, 2025
Certification Date
July 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Usameddac 2480 Llewellyn Ave
Fort Meade, MD 20755
Zip
20755
Phone Number
703-696-3942
Fort Meade, MD 20755Get directions →

Provider Business Mailing Address Details

Address
Usameddac 2480 Llewellyn Ave
Fort Meade, MD 20755
City
Fort Meade
State
MD
Zip
20755

License Information

License Number
0101258845
License State
VA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Derrick Thiel, MD?

The NPI number of Dr. Derrick Thiel, MD is 1174936181. It was assigned on June 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Derrick Thiel, MD?

Dr. Derrick Thiel, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VA under license number 0101258845.

Where does Dr. Derrick Thiel, MD practice?

The practice location is Usameddac 2480 Llewellyn Ave, Fort Meade, MD 20755. The office can be reached at 703-696-3942 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174936181 directly on the NPPES registry website.

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