Active NPI
Steven L. Tuck, MD
- Pediatric Orthopaedic Surgery Physician
- Rockville, MD
National Provider Identifier
1124062104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- D0025078
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0025078 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients | |
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Orthopaedic Surgery | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Bethesda, MD
- NPI 1477583599
DC
-
- Durable Medical Equipment & Medical Supplies
- Bethesda, MD
- NPI 1851759898
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.