Individual provider Active NPI

Mark Glass-Royal, M.D.

  • Diagnostic Radiology Physician
  • Frederick, MD
National Provider Identifier
1255361887
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D39842 Issued in MD
Practice address
400 W 7TH St
Frederick, MD 21701-4506
Phone
(240) 566-1720
NPI assigned
Jul 3, 2006
Last updated
May 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300020369OtherMDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101004000746 MD Practitioner - Diagnostic Radiology 5092907485 Reassigns benefits to 1 organization
I20220321001230 DC Practitioner - Diagnostic Radiology 5092907485 Reassigns benefits to 1 organization
I20220503002331 VA Practitioner - Diagnostic Radiology 5092907485 Reassigns benefits to 1 organization

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
Washington Radiology Assoc PLLCGroup PAC ID 8729972302, 36 clinicians

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 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D39842MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Radiology Assoc PLLC CurrentSince Apr 4, 2022 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Apr 4, 2022 Accepting new patients
Frederick Health Hospital Inc CurrentSince Jun 1, 1994 Accepting new patients
Frederick Health Hospital Inc CurrentSince Jun 1, 1994 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.

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

Verify at the official NPI Registry.