Individual provider Active NPI

Marisa Checca, MD

  • Obstetrics & Gynecology Physician
  • Leonardtown, MD
National Provider Identifier
1083065254
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0088669 Issued in MD
Practice address
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone
(301) 475-8981
NPI assigned
Jun 28, 2016
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0088669 MD Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 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
I20200609000015 MD Practitioner - Obstetrics/Gynecology 0143641662 Reassigns benefits to 2 organizations
I20231211000049 VA Practitioner - Obstetrics/Gynecology 0143641662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Hospital Dr
Suite 200
Fredericksburg, VA 22401-8451
Phone (540) 741-3260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088669MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Obstetrics & Gynecology CurrentSince Dec 12, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2020 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 8, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jan 8, 2024 Accepting new patients
St Agnes Healthcare Inc CurrentSince Dec 12, 2023 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

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

41680 Miss Bessie Dr
Leonardtown, MD 20650
Phone (301) 997-0055

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1300 Hospital Dr
Ste 200
Fredericksburg, VA 22401
Phone (540) 741-3260

1300 Hospital Dr
Ste 300
Fredericksburg, VA 22401
Phone (540) 656-2830

955 Wonder Rd
Stafford, VA 22554
Phone (540) 741-7892

Interoperability endpoints

  • Direct secure messaging: mchecca113255@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 6

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 3

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1083065254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502015",
            "telephone_number": "301-475-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502015",
            "telephone_number": "301-475-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECCA",
        "first_name": "MARISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0088669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.