Active NPI
Andrew Ian Bukovitz, MD
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D61438
- Practice address
- 3001 S Hanover St
Baltimore, MD 21225-1233 - Phone
- (410) 350-3509
- Fax
- (410) 350-3511
- NPI assigned
- Jun 21, 2006
- Last updated
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D61438 | MD | Primary |
Addresses
Primary practice location
3001 S Hanover St
Baltimore, MD 21225-1233
Mailing address
307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4300
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Columbia Healthcare of Central Virginia Inc | Past | Accepting new patients | |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| MCV Associated Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
Organizations & group practices 9
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
dba dba Richmond Specialty Group
- Plastic Surgery Physician
- Richmond, VA
- NPI 1417946450
-
dba MCV Physicians
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
Emergency Medicine
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1134475999
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1245255264
-
- Emergency Medicine Physician
- Richmond, VA
- NPI 1639193188
-
- Emergency Medicine Physician
- Hopewell, VA
- NPI 1659396646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1225074180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S EVERGREEN AVE",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962739",
"telephone_number": "856-686-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 S HANOVER ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212251233",
"telephone_number": "410-350-3509",
"fax_number": "410-350-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKOVITZ",
"first_name": "ANDREW",
"middle_name": "IAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D61438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.