Justin Colin Somerville, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

D0062808 Issued in MD

Practice address

10700 Charter Dr Ste 200
Columbia, MD 21044-3629

Phone

(410) 695-9950

Fax

(410) 695-9953

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Colorectal Surgery (Proctology)Also: General Surgery

Education

University of Maryland School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011

Merit-based Incentive Payment System (MIPS)

Final score

87.23 of 100Reported as group

Quality

80.47

Promoting interoperability

100

Improvement activities

40

Cost

76.96

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsomerville61683@direct.hopkinsmedicine.org
• Direct secure messaging: justin.somerville.1@10777.direct.athenahealth.com

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.

• St Agnes Healthcare Inc

  dba Integrated Specialists Group

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1144250176
  Medicare reassignment Care Compare group
• Johns Hopkins Community Physicians, Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1578598868
  Medicare reassignment NPD
• Johns Hopkins Community Physicians

  dba JHCP- 6225 Smith Avenue; Mental Health Therapy

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1356161806
  NPD
• Johns Hopkins Community Physicians, Inc

  dba JHCP - 195 Thomas Johnson Drive

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1770518003
  NPD
• Colon Rectal Surgical Associates, LLC

  • Colon & Rectal Surgery Physician
  • Ellicott City, MD
  • NPI 1831150234
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• St. Agnes Healthcare, Inc.

  dba St.Agnes Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1245274901
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Agnes Healthcare, Inc.

  dba St.Agnes Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1245274901
  Care Compare affiliation

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1023016672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443629",
            "telephone_number": "410-695-9950",
            "fax_number": "410-695-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443629",
            "telephone_number": "410-695-9950",
            "fax_number": "410-695-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVILLE",
        "first_name": "JUSTIN",
        "middle_name": "COLIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MD",
            "license": "D0062808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solutions for Mindfulness, PA
• Jill Somers
• Kenna Somers
• Somerville Surgical, LLC
• Johnette C Somerville, RN
• Ah Reum Son
• Amanda Yi Son
• Mingxin Song, LIC. AC.
• Rachel Song
• Nemahun Aminata Songu-Mbriwa

• Colon & Rectal Surgery Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Colon & Rectal Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.

Verify at the official NPI Registry.