Individual provider Active NPI

Marcus Mitchell

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1003784216
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1805 Columbia Rd NW
Washington, DC 20009-2001
Phone
(855) 910-3278
NPI assigned
Oct 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1805 Columbia Rd NW
Washington, DC 20009-2001

Mailing address

27 Rhodes Ave
Sharon, MA 02067-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260115001542 DC Practitioner - Physician Assistant 8426534868 Reassigns benefits to 1 organization
I20260217001740 MD Practitioner - Physician Assistant 8426534868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

2114 Generals Hwy
Annapolis, MD 21401-7488
Phone (410) 224-6905

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

7698 Dorchester Blvd
Hanover, MD 21076-1946
Phone (443) 755-9253

8125 Ritchie Hwy
Suite H
Pasadena, MD 21122-6925
Phone (410) 544-2075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC CurrentSince Jan 23, 2026 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 11, 2026 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 11, 2026 Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1003784216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RHODES AVE",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 COLUMBIA RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092001",
            "telephone_number": "855-910-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARCUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.