NPIMap

Individual provider Active NPI

Acquanetta Frazier, M.D.

  • Gastroenterology Physician
  • Greenbelt, MD
National Provider Identifier
1043380140
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0022435 Issued in MD
Practice address
8723 Greenbelt Rd Ste 201
Greenbelt, MD 20770-2403
Phone
(301) 552-9797
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0022435 MD Primary

Addresses

Primary practice location

8723 Greenbelt Rd Ste 201
Greenbelt, MD 20770-2403

Mailing address

PO Box 77793
Washington, DC 20013-8793

Other identifiers 6

IdentifierTypeStateIssuer
110011605OtherMDRAILROAD MEDICARE
157411600MedicaidMD
2251992OtherMDAETNA
011722500MedicaidDC
28524OtherMDMAMSI/ALLIANCE
F912 0001OtherMDCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406001136 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 3779576632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Howard University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8723 Greenbelt Rd
Suite 201
Greenbelt, MD 20770-2485
Phone (301) 552-9797

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004
  • Medstar National Rehabilitation Hospital Inpatient rehabilitation facility, Washington, DC, CCN 093025
  • Bridgepoint Cont Care Hospital - Nat Harborside Long-term care hospital, Washington, DC, CCN 092003
  • Deanwood Rehabilitation and Wellness Center Nursing home, Washington, DC, CCN 095019
  • Stoddard Baptist Nursing Home Nursing home, Washington, DC, CCN 095020

Merit-based Incentive Payment System (MIPS)

Final score
27.19 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0022435MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multi Therapeutic Services Inc Past Accepting new patients
Stoddard Baptist Home Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Grant Park SNF, LLC Past Accepting new patients

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1043380140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77793",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200138793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8723 GREENBELT RD STE 201",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702403",
            "telephone_number": "301-552-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ACQUANETTA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0022435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110011605",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157411600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2251992",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011722500",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/ALLIANCE",
            "identifier": "28524",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "F912 0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.