Active NPI
Vianca J Masucci, MD
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1245813781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0103041
- Practice address
- 1040 Park Ave Ste 200
Baltimore, MD 21201-5634 - Phone
- (443) 738-0300
- Fax
- (443) 738-0301
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0103041 | MD | |
| Internal Medicine Physician | 207R00000X | D0103041 | MD | Primary |
Addresses
Primary practice location
1040 Park Ave Ste 200
Baltimore, MD 21201-5634
Mailing address
3005 Rueckert Ave
Baltimore, MD 21214-2916
Phone (973) 866-8286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Pennsylvania State University College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 600
Tuba City, AZ 86045
PO Box
Suite 600
Tuba City, AZ 86045-0600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuba City Regional Health Care Corporation | Internal Medicine | Current | Accepting new patients |
| Baltimore Medical System, Inc. | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Baltimore Medical System, Inc. | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Internal Medicine | Current | Accepting new patients |
Locations
1040 Park Ave
Ste 200
Baltimore, MD 21201
Phone (443) 738-0300
1000 Stewart Ave
Glen Burnie, MD 21061
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1164138152
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Internal Medicine, TX
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1700882503
-
- Family Medicine Physician
- Cameron, AZ
- NPI 1134382211
Internal Medicine
-
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1245813781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 RUECKERT AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212142916",
"telephone_number": "973-866-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 PARK AVE STE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015634",
"telephone_number": "443-738-0300",
"fax_number": "443-738-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASUCCI",
"first_name": "VIANCA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0103041",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0103041",
"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 30, 2025; 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.