Individual provider Active NPI

Alex Ryzhikov, MD

  • Cardiovascular Disease Physician
  • Waldorf, MD
National Provider Identifier
1063679181
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0070754 Issued in MD
Practice address
10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone
(301) 705-7870
Fax
(301) 705-7628
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0070754 MD Primary

Addresses

Primary practice location

10 Saint Patricks Dr
Waldorf, MD 20603-4527

Mailing address

24035 Three Notch Road
Hollywood, MD 20636-7871
Phone (301) 373-7900

Other identifiers 1

IdentifierTypeStateIssuer
325604900MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.medstarhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101015000245 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113110768 Reassigns benefits to 3 organizations
I20101110000041 MD Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7113110768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Practice addresses (Care Compare)

10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 705-7870

110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-2851

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

24035 Three Notch Rd
Hollywood, MD 20636-4871

6710 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-1124
Phone (301) 373-7900

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

900 E Swan Creek Rd
Medstar Shah Medical Group
Ft Washington, MD 20744-5250
Phone (301) 877-4564

950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270

Hospital & facility affiliations

  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Cardiovascular Disease CurrentSince Apr 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2017 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Apr 1, 2015 Accepting new patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Apr 14, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2017 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

5601 Loch Raven Blvd
Ste 102
Baltimore, MD 21239
Phone (410) 581-1200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

7501 Surratts Rd
Ste 104
Clinton, MD 20735
Phone (301) 877-4689

2200 Defense Hwy
Ste 100
Crofton, MD 21114
Phone (410) 721-5280

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

22650 Cedar Lane Ct
Leonardtown, MD 20650
Phone (301) 475-5021

10 Saint Patricks Dr
Fl 2
Waldorf, MD 20603
Phone (301) 645-8322

12070 Old Line Ctr
Ste 100
Waldorf, MD 20602
Phone (301) 705-7870

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

Interoperability endpoints

  • Direct secure messaging: alexander.ryzhikovmd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 7

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 6

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1063679181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH ROAD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206367871",
            "telephone_number": "301-373-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAINT PATRICKS DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-705-7870",
            "fax_number": "301-705-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYZHIKOV",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0070754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325604900",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.medstarhealth.org",
            "affiliation": "N",
            "address_1": "10 Saint Patricks Dr",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206034527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.