IndividualActive
Jesus Untiveros, MEDICAL DEGREE
NPI 1114145877 · Gastroenterology Physician · Gaithersburg, MD
Provider details
- NPI number
- 1114145877
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MEDICAL DEGREE
- Sex
- Male
- Sole proprietor
- No
- License
- D28671 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8903 Shady Grove Court
Gaithersburg, MD 20877
Phone: (301) 330-4400
Fax: (301) 330-7343
Street-level locationGet directions
Mailing address
8903 Shady Grove Court
Gaithersburg, MD 20877
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.