Individual provider Active NPI

Gary Michael Vita, MD

  • Anesthesiology Physician
  • Towson, MD
National Provider Identifier
1073699864
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0046107 Issued in MD
Practice address
7505 Osler Dr
Towson, MD 21204-7736
Phone
(410) 337-5337
NPI assigned
Oct 27, 2006
Last updated
Jun 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0046107 MD Primary

Addresses

Primary practice location

7505 Osler Dr
Towson, MD 21204-7736

Mailing address

222 Bosley Ave
Suite C6
Towson, MD 21204-4328
Phone (410) 337-5337

Other practice location 1

222 Bosley Ave
Suite C6
Towson, MD 21204-4328
Phone (410) 337-5337

Other identifiers 4

IdentifierTypeStateIssuer
4E67000004OtherFEDERAL BCBS
53351803OtherBCBS
050063100OtherMDRAILROAD MEDICARE
160131800MedicaidMD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000292 MD Practitioner - Anesthesiology 6507909397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-1379

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.09 of 100Reported as group
Quality
79.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Feb 28, 2014 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Feb 28, 2014 Accepting new patients
Cardiac Anesthesia Associates, P.a. Anesthesiology Past Accepting new patients

Locations

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7505 Osler Dr
Towson, MD 21204
Phone (410) 337-0557

Interoperability endpoints

  • Direct secure messaging: gvita108433@direct.umm.edu

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, 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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1073699864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BOSLEY AVE",
            "address_2": "SUITE C6",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044328",
            "telephone_number": "410-337-5337",
            "fax_number": "410-337-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-337-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Bosley Ave",
            "address_2": "Suite C6",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212044328",
            "country_code": "US",
            "telephone_number": "410-337-5337",
            "fax_number": "410-337-5338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITA",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0046107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "4E67000004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53351803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050063100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160131800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.