Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235137084 Deactivated / Inactive NPI Male Practitioner

Jerry Earll

Internal Medicine • Washington, DC

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jerry Earll has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 14, 2005
NPI Deactivation Date October 11, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Jerry Earll was a registered Internal Medicine practicing in Washington, DC. Throughout an active medical career spanning 19 years, Jerry Earll provided care at the practice location at 3800 RESERVOIR RD NW until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

3800 Reservoir Rd Nw

Washington, DC 200072113

Telephone 2024448168
Associated Practice Facility / Clinic
🏢 Mgmc Llc Facility NPI 1316949654

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Washington, DC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
929 Specialists

Practicing in Washington, DC (939 Statewide)

Telehealth Adoption Rate
20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License DC 25632

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jeffrey Riskin , MD

Student in an Organized Health Care Education/Training Program

NPI 1013611789

Doctor of Medicine (M.D.)

NPI 1013992734
Catherine Okuliar

Internal Medicine

NPI 1023094752
Elizabeth Bierbower

Internal Medicine - Cardiovascular Disease

NPI 1023579851
Dr. Sara Kiparizoska , MD

Internal Medicine

NPI 1023646627

Doctor of Medicine (M.D.)

Shandiz Shahbazi

Internal Medicine - Gastroenterology

NPI 1043717127

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 11, 2024

Record deactivated on October 11, 2024

NPI Profile Active March 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2012

Registered at 3800 RESERVOIR RD NW, WASHINGTON, DC 200072113 (Tel: 2024448168)

📍
Updated Business Mailing Address March 06, 2012

Registered at PO BOX 418283, BOSTON, MA 022418283 (Tel: 7035581544)

👤
Provider Name / Credentials Updated March 06, 2012

Recorded as JERRY EARLL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2012

Internal Medicine (License #25632 in DC)

🟢
Initial NPI Registration & Enumeration July 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jerry Earll. Be the first to share your experience!

Sign in to leave a review for Jerry Earll

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1235137084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2005
Last Update: March 06, 2012
Deactivation Date: October 11, 2024

Mailing Address

Po Box 418283

Boston, MA 022418283

Phone: 7035581544

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.