Individual provider Active NPI

Andrea C Fitzgerald, M.D.

  • Obstetrics & Gynecology Physician
  • Towson, MD
National Provider Identifier
1144287780
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0054728 Issued in MD
Practice address
7401 Osler Dr
Suite 205
Towson, MD 21204-7673
Phone
(410) 828-8077
Fax
(410) 828-8077
NPI assigned
Apr 27, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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 D0054728 MD Primary

Addresses

Primary practice location

7401 Osler Dr
Suite 205
Towson, MD 21204-7673

Mailing address

7401 Osler Dr
Suite 205
Towson, MD 21204-7673
Phone (410) 828-8077

Other identifiers 1

IdentifierTypeStateIssuer
836300500MedicaidMD

Other names 1

  • Dr. Andrea Collerius Former name

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
I20100727000033 MD Practitioner - Obstetrics/Gynecology 4183757206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7300 York Rd
Towson, MD 21204-7608

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

State licenses

LicenseStateTypeSpecialty
D0054728MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 1, 2016 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 1, 2016 Accepting new patients
University of Maryland St. Joseph Medical Center, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients

Locations

7300 York Rd
Ste 201
Towson, MD 21204
Phone (410) 427-5337

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

Interoperability endpoints

  • Direct secure messaging: afitzgerald120335@direct.umm.edu

Organizations & group practices 5

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1144287780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR",
            "address_2": "SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047673",
            "telephone_number": "410-828-8077",
            "fax_number": "410-828-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 OSLER DR",
            "address_2": "SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047673",
            "telephone_number": "410-828-8077",
            "fax_number": "410-828-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "ANDREA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0054728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836300500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "COLLERIUS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.