Active NPI
Robert J Degrazia Jr., M.D.
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D88936
- Practice address
- 2024 E Monument St RM 2-300C
Baltimore, MD 21287-0028 - Phone
- (443) 287-9526
- Fax
- (410) 955-0476
- NPI assigned
- Mar 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C1-0012714 | DE | |
| Internal Medicine Physician | 207R00000X | D88936 | MD | Primary |
Addresses
Primary practice location
2024 E Monument St RM 2-300C
Baltimore, MD 21287-0028
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S 11TH St
Philadelphia, PA 19107-4824
Phone (215) 955-6540
2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-9300
Hospital & facility affiliations
- Thomas Jefferson University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD485725 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Internal Medicine | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Internal Medicine | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Methodist Associates in Healthcare, Inc. | Current | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients |
Locations
111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
Organizations & group practices 5
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.
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Internal Medicine
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
Internal Medicine
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1033575352
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1013379130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR STE 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 E MONUMENT ST RM 2-300C",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870028",
"telephone_number": "443-287-9526",
"fax_number": "410-955-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAZIA",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C1-0012714",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D88936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.