Mark Robert Abbruzzese
Individual provider Active NPI Infectious Disease Physician · Bethesda, MD
NPI 1154310035 · NPPES record last updated Jun 27, 2012
Key facts
- NPI
- 1154310035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- MD15748 (DC)
- Practice address
- 6400 Goldsboro Rd
Suite#330
Bethesda, MD 20817-5826 - Phone
- (301) 320-3361
- Fax
- (301) 320-0170
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Infectious Disease
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
Hospital & facility affiliations
- Medstar Georgetown University Hospital
- Medstar Washington Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- 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 |
|---|---|---|---|---|
| I20100928000694 | DC | Practitioner - Infectious Disease |
8628194644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0048226 | MD | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4910 Massachusetts Ave NW
Washington, DC 20016
Phone (202) 237-0015
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3301 New Mexico Ave NW
Ste 205
Washington, DC 20016
Phone (202) 243-2500
4910 Massachusetts Ave NW
Ste 304
Washington, DC 20016
Phone (202) 364-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD15748 | DC | Yes |
| Infectious Disease Physician | 207RI0200X | D0048226 | MD |
Addresses
Primary practice location
6400 Goldsboro Rd
Suite#330
Bethesda, MD 20817-5826
Mailing address
11608 Caplinger Rd
Silver Spring, MD 20904-2768
Phone (301) 622-9161
Other providers in Bethesda, MD
- A&W Anesthesia Services, LLC
- Adriana Carolina Abadi
- Daniel Shemelis Abate
- Anahita Abazari
- Kevin Charles Abbott
- Yousef Abdelmotaal
- Laleh Abdolazadeh
- Remsh Abdulhafedh
- Haranie Abera
- Michael S Abers
All providers in Bethesda, MD · Infectious Disease 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 27, 2012. 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.