Individual provider Active NPI

Steven L. Tuck, MD

  • Pediatric Orthopaedic Surgery Physician
  • Rockville, MD
National Provider Identifier
1124062104
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
D0025078 Issued in MD
Practice address
9601 Blackwell Rd Ste 100
Shady Grove Orthopaedics
Rockville, MD 20850-6477
Phone
(301) 340-9200
Fax
(301) 340-6934
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0025078 MD
Orthopaedic Surgery Physician 207X00000X D0025078 MD
Orthopaedic Hand Surgery Physician 207XS0106X D0025078 MD
Pediatric Orthopaedic Surgery Physician 207XP3100X D0025078 MD Primary

Addresses

Primary practice location

9601 Blackwell Rd Ste 100
Shady Grove Orthopaedics
Rockville, MD 20850-6477

Mailing address

7614 Maryknoll Ave
Bethesda, MD 20817-4854
Phone (301) 229-4755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100316000392 DC Practitioner - Orthopedic Surgery 0143302117 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0025078MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Mar 31, 2022 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC Orthopaedic Surgery CurrentSince Mar 31, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

19735 Germantown Rd
Ste 120
Germantown, MD 20874
Phone (301) 340-9200

9601 Blackwell Rd
Ste 100
Rockville, MD 20850
Phone (301) 340-9200

Interoperability endpoints

  • Direct secure messaging: steventuck@bccoallp.allscriptsdirect.net

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1124062104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 MARYKNOLL AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208174854",
            "telephone_number": "301-229-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD STE 100",
            "address_2": "SHADY GROVE ORTHOPAEDICS",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506477",
            "telephone_number": "301-340-9200",
            "fax_number": "301-340-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCK",
        "first_name": "STEVEN",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0025078",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0025078",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MD",
            "license": "D0025078",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MD",
            "license": "D0025078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.