NPIMap

Individual provider Active NPI

Coquilla Deborah Cross, MD

  • Psychiatry Physician
  • Towson, MD
National Provider Identifier
1235197013
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0097839 Issued in MD
Practice address
6501 N Charles St
Towson, MD 21204-6819
Phone
(410) 938-5000
NPI assigned
May 2, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0097839 MD Primary

Addresses

Primary practice location

6501 N Charles St
Towson, MD 21204-6819

Mailing address

849 Fairmount Ave FL 5
Towson, MD 21286-2624
Phone (443) 377-5273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040526000763 NY Practitioner - Psychiatry 4880675800 Reassigns benefits to 2 organizations
I20240916003938 MD Practitioner - Psychiatry 4880675800 Reassigns benefits to 2 organizations
I20240917001219 DC Practitioner - Psychiatry 4880675800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Community Services, IncGroup PAC ID 0941289417, 63 clinicians
Family Services, IncGroup PAC ID 2264424282, 9 clinicians

Practice addresses (Care Compare)

1925 Greenspring Dr
Timonium, MD 21093-4128
Phone (410) 938-5434

610 E Diamond Ave
Suite 100
Gaithersburg, MD 20877-5321
Phone (301) 840-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
42.65
Promoting interoperability
51
Improvement activities
40
Cost
84.01

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Psychiatry CurrentSince Nov 15, 2019 Accepting new patients
Way Station, Inc. Current Accepting new patients
Montefiore Medical Center CurrentSince Nov 15, 2019 Accepting new patients
St. Joseph's Hospital & Medical Center Psychiatry CurrentSince May 5, 2018 Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
Mosaic Community Services, Inc CurrentSince Jul 30, 2024 Accepting new patients
St Josephs Hospital Yonkers CurrentSince May 5, 2018 Accepting new patients
Mosaic Community Services, Inc CurrentSince Jul 30, 2024 Accepting new patients
Family Services, Inc Current Accepting new patients
Family Services, Inc. CurrentSince Jul 30, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University Physicians of Brooklyn Psychiatry Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1925 Greenspring Dr
Timonium, MD 21093

1931 Greenspring Dr
Timonium, MD 21093
Phone (410) 938-3464

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

288 E Green St
Westminster, MD 21157
Phone (410) 751-5970

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

275 North St
Harrison, NY 10528
Phone (914) 925-5211

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Organizations & group practices 14

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.

View all 14

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1235197013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE FL 5",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862624",
            "telephone_number": "443-377-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "COQUILLA",
        "middle_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0097839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.