Individual provider Active NPI

Mary Eid

  • Anatomic Pathology & Clinical Pathology Physician
  • Bethesda, MD
National Provider Identifier
1063828770
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101261981 Issued in VA
Practice address
10 Center Dr
Room 2N208
Bethesda, MD 20892-0001
Phone
(301) 594-5580
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 0101261981 VA Primary

Addresses

Primary practice location

10 Center Dr
Room 2N208
Bethesda, MD 20892-0001

Mailing address

1985 Jefferson Davis Hwy
Fredericksburg, VA 22401-6233
Phone (925) 785-8210

Other names 1

  • Mary Kaldas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, IL, MN, MI, WV, TN7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20190731003579 VA Practitioner - PathologyPractitioner - Dermatology 9739415506 Reassigns benefits to 1 organization
I20200729000581 DC Practitioner - Pathology 9739415506 Reassigns benefits to 1 organization
I20230609002318 IL Practitioner - Pathology 9739415506 Reassigns benefits to 1 organization
I20230927001561 MN Practitioner - Pathology 9739415506 Reassigns benefits to 1 organization
I20240214000289 MI Practitioner - Dermatology 9739415506 Reassigns benefits to 1 organization
I20240326003346 WV Practitioner - Pathology 9739415506 Reassigns benefits to 1 organization
I20260317004253 TN Practitioner - Pathology 9739415506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
George Washington University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians
Pathology Associates of St ThomasGroup PAC ID 2769462845, 11 clinicians

Practice addresses (Care Compare)

10705 Town Square Dr NE
Suite 210
Blaine, MN 55449-8187
Phone (763) 231-8700

2500 S Highland Ave
Suite 320
Lombard, IL 60148-5390
Phone (815) 744-8554

2685 Jolly Rd
Okemos, MI 48864-3553
Phone (517) 993-5900

4230 Harding Pike
Suite 1001
Nashville, TN 37205-2098
Phone 61529841002098

6101 Redwood Square Ctr
Suite 117
Centreville, VA 20121-4266
Phone (571) 400-2110

6122 Franklin Park Rd
MC Lean, VA 22101-4213
Phone (815) 744-8554

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of St. Thomas Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Audrey Bruell, M.D. P.C. Single Specialty Current Accepting new patients

Locations

37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931

4230 Harding Pike
Ste 1001
Nashville, TN 37205
Phone (615) 298-4100

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.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1063828770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 JEFFERSON DAVIS HWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016233",
            "telephone_number": "925-785-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR",
            "address_2": "ROOM 2N208",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-594-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101261981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KALDAS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.