Individual provider Active NPI

Tricia Cecelia Carvalho, CRNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1043533508
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R173055 Issued in MD
Practice address
10710 Charter Dr Ste 110
Columbia, MD 21044-3258
Phone
(410) 992-9797
Fax
(410) 730-0942
NPI assigned
Mar 11, 2010
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R173055 MD Primary

Addresses

Primary practice location

10710 Charter Dr Ste 110
Columbia, MD 21044-3258

Mailing address

10710 Charter Dr Ste 110
Columbia, MD 21044-3258
Phone (410) 992-9797

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000504 MD Practitioner - Nurse Practitioner 8820279755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Digestive Associates, PCGroup PAC ID 5597151357, 38 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 110
Columbia, MD 21044-3258
Phone (410) 992-9797

621 Ridgely Ave
Suite 201
Annapolis, MD 21401-1083
Phone 4102244887421

700 Geipe Rd
Suite 230
Catonsville, MD 21228-4176
Phone (410) 247-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
59.44
Promoting interoperability
97
Improvement activities
40
Cost
81.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R173055MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Digestive Associates, PC CurrentSince Jun 1, 2023 Accepting new patients
Digestive Disease Associates, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

700 Geipe Rd
Ste 230
Catonsville, MD 21228

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

Interoperability endpoints

  • Direct secure messaging: tcarvalho428844@direct.hopkinsmedicine.org
  • Direct secure messaging: tricia.carvalho@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1043533508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE 110",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443258",
            "telephone_number": "410-992-9797",
            "fax_number": "410-730-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE 110",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443258",
            "telephone_number": "410-992-9797",
            "fax_number": "410-730-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "TRICIA",
        "middle_name": "CECELIA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R173055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.