Mary Branton, MD – Nephrology Physician

Key facts

NPI: 1053486993
Entity type: Individual (NPI type 1)
Primary specialty: Nephrology Physician 207RN0300X
License: D46620 (MD)
Practice address: 12201 Plum Orchard Drive
Silver Spring, MD 20904-7803
Phone: (301) 572-3305
Fax: (301) 572-3398
NPI assigned: Nov 22, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Health Maintenance Organization · Halethorpe, MD · NPI 1043378656

Medicare reassignment NPD MD
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Health Maintenance Organization · Glen Burnie, MD · NPI 1285752121

NPD
Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20210525000422	MD	Practitioner - Internal Medicine	7012997026	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Status	New patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc	Current	Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc	Current since Mar 1, 2021	Accepting new patients
Frederick Health Hospital Inc	Past	Accepting new patients

Locations

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

2101 E Jefferson St
#4E
Rockville, MD 20852

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2101 E Jefferson St
Unit 6
Rockville, MD 20852

7141 Security Blvd
Windsor Mill, MD 21244
Phone (410) 281-6200

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	MD20892	DC
Nephrology Physician	207RN0300X	D46620	MD	Yes

Addresses

Primary practice location

12201 Plum Orchard Drive
Silver Spring, MD 20904-7803

Mailing address

2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6 West
Rockville, MD 20852-4908
Phone (301) 816-6660

Electronic endpoints

Type	Endpoint	Use	Affiliation
SOAP URL	https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq	Health Information Exchange (HIE)

Other providers in Silver Spring, MD

Samantha Tonnette Toyin Bramwell, PHLEBOTOMISTS
Blanca Ivonne Brana, LCPC
Jessica Branch, L.C.P.C.
Raven Branch
Tonya Branch, CMT
Evelyn Bratt, OTR/L
Elisabeth Braun, MOT/L
Jennifer Liza Braveman, LCSW-C
Heather Bravo
Nicola Sheree Bravo, M.D.

All providers in Silver Spring, MD · Nephrology Physician in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.