Active NPI
Mark Glass-Royal, M.D.
- Diagnostic Radiology Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D39842
- Practice address
- 400 W 7TH St
Frederick, MD 21701-4506 - Phone
- (240) 566-1720
- NPI assigned
- Jul 3, 2006
- Last updated
- May 27, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D39842 | MD | Primary |
Addresses
Primary practice location
400 W 7TH St
Frederick, MD 21701-4506
Mailing address
PO Box 1966
Frederick, MD 21702-0966
Phone (301) 663-1277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300020369 | Other | MD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- George Washington University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21351 Ridgetop Cir
Suite 100
Sterling, VA 20166-6608
Phone (571) 434-0140
3022 Williams Dr
Suite 200
Fairfax, VA 22031-4600
Phone (703) 698-8800
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D39842 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Radiology Assoc PLLC | Current | Accepting new patients | |
| Washington Radiology Associates, PLLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722
1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
850 Oak St
Frederick, MD 21703
Phone (301) 689-8374
3430 Worthington Blvd
Ste 101
Urbana, MD 21704
Phone (301) 696-0818
3015 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 641-9133
3022 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 698-8800
21351 Ridgetop Cir
Ste 100
Sterling, VA 20166
Phone (571) 434-0140
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Washington Radiology Associates, PLLC
- Specialist
- Fairfax, VA
- NPI 1215985437
DC
-
dba Frederick Health Imaging
- Radiology Clinic/Center
- Frederick, MD
- NPI 1982600771
-
dba Frederick Health Imaging
- Radiology Clinic/Center
- Frederick, MD
- NPI 1699559823
-
- Specialist
- Sterling, VA
- NPI 1407047905
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1255361887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1966",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217020966",
"telephone_number": "301-663-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 7TH ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014506",
"telephone_number": "240-566-1720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS-ROYAL",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D39842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300020369",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.