JUAN CARLOS ABRIL M.D.
NPI 1144421934
Internal Medicine - Pulmonary Disease in Chevy Chase, MD

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
5530 WISCONSIN AVE STE 1150, CHEVY CHASE, MD 20815(301) 656-7374(301) 656-1019 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 19, 2025, Oct 19, 2020, Nov 24, 2015 (3 updates tracked since 2015).

About Juan Carlos Abril M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN CARLOS ABRIL M.D. (NPI 1144421934) is an individual pulmonary disease provider in Chevy Chase, Maryland, licensed in District Of Columbia (MD 037523) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1144421934
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJUAN CARLOS ABRILCredential: M.D.
Location Address5530 WISCONSIN AVE STE 1150Chevy Chase, MD 20815-4306
Mailing Address5530 Wisconsin Ave Ste 1150Chevy Chase, MD 20815-4306 · (301) 656-7374
Fax(301) 656-1019
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMay 30, 2007
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1144421934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in DC · MD 037523
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME96949 (FL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0101250131 (VA), D0090371 (MD)
5530 WISCONSIN AVE STE 1150, Chevy Chase, MD 20815

Secondary Practice Locations 2

Location 12150 Pennsylvania Ave NW, Suite 7-404Washington, DC 20037-3201 · Phone (202) 741-3411 · Fax (202) 741-2721
Location 2521 Park Hill DrFredericksburg, VA 22401-3377 · Phone (540) 899-1615 · Fax (540) 372-3525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan Carlos Abril M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012002801
PECOS Enrollment IDI20110802000284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Juan Abril reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
Internal Medicine
4102 WILSON BLVD
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1689485963 (Maryland)
  • 691 clinicians in this Medicare group
Multi-Specialty
2740 PROSPERITY AVE STE 200
Fairfax, VA 22031
  • Reassigned Medicare billing, Virginia enrollment
  • 2,379 clinicians in this Medicare group
Pulmonary Disease
521 PARK HILL DR, SUITE B
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 6 clinicians in this Medicare group
Cardiovascular Disease
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 133 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
281 services184 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
241 services218 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
224 services167 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
208 services191 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
208 services191 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 22

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers62 claims62 services$34.59 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers124 claims124 services$81.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers120 claims351 services$32.57 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers23 claims129 services$12.44 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers44 claims259 services$12.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers68 claims73 services$45.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
5530 WISCONSIN AVE STE 1150
CHEVY CHASE, MD 20815
Internal Medicine
5530 WISCONSIN AVE STE 1150
CHEVY CHASE, MD 20815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Abril's NPI number?

The NPI number for Juan Abril is 1144421934. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Juan Abril located?

Juan Abril practices at 5530 Wisconsin Ave Ste 1150, Chevy Chase, MD 20815. The listed phone number is (301) 656-7374.

What is Juan Abril's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Juan Abril enrolled in Medicare?

Yes. Juan Abril is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Juan Abril's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Abril reassigns Medicare benefits to 5 organizations: Privia Medical Group, LLC (Arlington, VA), Johns Hopkins Community Physicians (Arlington, VA), Inova Health Care Services (Fairfax, VA), Sleep Disorder Center Of Fredericksburg Plc (Fredericksburg, VA) and Mary Washington Hospital, Inc. (Fredericksburg, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Abril's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Abril accept?

Health plans from Oscar Health list Juan Abril as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan Abril was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.