Marisa Checca, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Leonardtown, MD
NPI 1083065254 · NPPES record last updated Jun 4, 2020
Key facts
- NPI
- 1083065254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D0088669 (MD)
- Practice address
- 25500 Point Lookout Rd
Leonardtown, MD 20650-2015 - Phone
- (301) 475-8981
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Washington Healthcare Physicians
Practice addresses (Care Compare)
1300 Hospital Dr
Suite 200
Fredericksburg, VA 22401-8451
Phone (540) 741-3260
Hospital & facility affiliations
- Mary Washington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, VA
- 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 |
|---|---|---|---|---|
| I20200609000015 | MD | Practitioner - Obstetrics/Gynecology | 0143641662 | Reassigns benefits to 2 organizations |
| I20231211000049 | VA | Practitioner - Obstetrics/Gynecology | 0143641662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0088669 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Agnes Healthcare Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Mary Washington Healthcare Physicians | Current |
Accepting new patients | |
| Mary Washington Healthcare Physicians | Current |
Accepting new patients | |
| St Agnes Healthcare Inc | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
41680 Miss Bessie Dr
Leonardtown, MD 20650
Phone (301) 997-0055
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
1300 Hospital Dr
Ste 200
Fredericksburg, VA 22401
Phone (540) 741-1995
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1300 Hospital Dr
Ste 300
Fredericksburg, VA 22401
Phone (540) 373-4700
955 Wonder Rd
Stafford, VA 22554
Phone (540) 741-7892
Interoperability endpoints
- mchecca113255@marywashingtonhealthcare.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0088669 | MD | Yes |
Addresses
Primary practice location
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Mailing address
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (301) 475-8981
Other providers in Leonardtown, MD
- Centers for Advanced Orthopaedics, LLC
- Centers for Advanced Orthopaedics, LLC
- Edford Olaf Chambers III
- Jamilla K. Chase
- Kenneth Bernard Chase
- Frank Sungping Chen
- Ryan Cheoun
- Chesapeake Audiology, LLC
- Chesapeake Family Health Care
- Teresa Jean Clark
All providers in Leonardtown, MD · Obstetrics & Gynecology 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 Jun 4, 2020. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.