Individual provider Active NPI

David Marcozzi, M.D., MHS-CL

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1154405033
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD036932 Issued in DC
Practice address
900 23Rd St NW
Department of Emerency Medicine
Washington, DC 20037-2342
Phone
(202) 715-4000
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2002-00951 NC
Emergency Medicine Physician 207P00000X MD036932 DC Primary

Addresses

Primary practice location

900 23Rd St NW
Department of Emerency Medicine
Washington, DC 20037-2342

Mailing address

900 23Rd St NW
Department of Emerency Medicine
Washington, DC 20037-2342
Phone (202) 715-4000

Other identifiers 1

IdentifierTypeStateIssuer
8913183MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 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
I20150910001546 NC Practitioner - Emergency Medicine 1355428335 Reassigns benefits to 1 organization
I20160224002422 MD Practitioner - Emergency Medicine 1355428335 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002-00951NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Midtown Health Inc CurrentSince May 23, 2017 Accepting new patients
Duke University Health System, Inc. CurrentSince May 3, 2015 Accepting new patients
Duke University Health System, Inc. CurrentSince May 3, 2015 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients

Locations

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

Erwin Rd
Durham, NC 27710
Phone (336) 768-3240

Interoperability endpoints

  • Direct secure messaging: dmarcozzi450541@direct.umm.edu

Organizations & group practices 4

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1154405033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "address_2": "DEPARTMENT OF EMERENCY MEDICINE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "address_2": "DEPARTMENT OF EMERENCY MEDICINE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOZZI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., MHS-CL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2002-00951",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD036932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913183",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.