Individual provider Active NPI

Marcos S Faltamo, CRNA

  • Certified Registered Nurse Anesthetist
  • Largo, MD
National Provider Identifier
1245275486
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R143174 Issued in MD
Practice address
1300 Mercantile LN
Largo, MD 20774-5327
Phone
(301) 317-0020
Fax
(301) 317-0028
NPI assigned
Jun 19, 2006
Last updated
May 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R143174 MD Primary

Addresses

Primary practice location

1300 Mercantile LN
Largo, MD 20774-5327

Mailing address

3640 Lyons Creek Rd
Dunkirk, MD 20754-9278
Phone (301) 317-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041019001252 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446211825 Reassigns benefits to 4 organizations
I20080707000272 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446211825 Reassigns benefits to 3 organizations
I20231227000029 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446211825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

1901 Lockhouse Dr
Point of Rocks, MD 21777-2104
Phone (301) 874-2211

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R143174MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC CurrentSince Mar 4, 2022 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Mar 4, 2022 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 25, 2023 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Dec 1, 2016 Accepting new patients
Inova Cares - Community CurrentSince Nov 14, 2023 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Odo Medical Associates Limited Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

10400 Little Patuxent Pkwy
Ste 240
Columbia, MD 21044
Phone (321) 422-7110

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

1901 Lockhouse Dr
Point of Rocks, MD 21777
Phone (301) 874-2211

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: mfaltamo801514@direct.umm.edu

Organizations & group practices 11

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1245275486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 LYONS CREEK RD",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207549278",
            "telephone_number": "301-317-0020",
            "fax_number": "301-317-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-317-0020",
            "fax_number": "301-317-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALTAMO",
        "first_name": "MARCOS",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R143174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.