Individual provider Active NPI

Mark Brejt, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1255378196
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35061693 Issued in OH
Practice address
3621 Severn Rd
Cleveland, OH 44118-1906
Phone
(216) 321-1203
Fax
(216) 371-3465
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35061693 OH Primary
Body Imaging Physician 2085B0100X 35061693 OH
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 35061693 OH
Diagnostic Ultrasound Physician 2085U0001X 35061693 OH
Hospice and Palliative Medicine (Radiology) Physician 2085H0002X 35061693 OH
Neuroradiology Physician 2085N0700X 35061693 OH
Nuclear Radiology Physician 2085N0904X 35061693 OH
Pediatric Radiology Physician 2085P0229X 35061693 OH
Radiation Oncology Physician 2085R0001X 35061693 OH
Therapeutic Radiology Physician 2085R0203X 35061693 OH
Vascular & Interventional Radiology Physician 2085R0204X 35061693 OH
Nuclear Medicine Physician 207U00000X 35061693 OH
In Vivo & In Vitro Nuclear Medicine Physician 207UN0903X 35061693 OH
Nuclear Cardiology Physician 207UN0901X 35061693 OH
Nuclear Imaging & Therapy Physician 207UN0902X 35061693 OH

Addresses

Primary practice location

3621 Severn Rd
Cleveland, OH 44118-1906

Mailing address

3621 Severn Rd
Cleveland, OH 44118-1906
Phone (216) 926-6899

Other identifiers 9

IdentifierTypeStateIssuer
000000503601OtherOHANTHEM
0304914OtherOHBCMH
P00412293OtherOHRAILROAD MEDICARE
0018157540006MedicaidPA
0907853MedicaidOH
363378OtherOHWELLCARE
000000221357OtherOHUNISON
4334561OtherOHAETNA
745377OtherOHBUCKEYE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170802001379 MD Practitioner - Diagnostic Radiology 1254225360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

10285 Little Patuxent Pkwy
Suite 450
Columbia, MD 21044-3489
Phone (888) 972-9700

104 Plumtree Rd
Bel Air, MD 21015-6095

116 Defense Hwy
Suite Ll100
Annapolis, MD 21401-7626
Phone (888) 972-9700

11810 W Market PL
Fulton, MD 20759-2703
Phone (888) 972-9700

1209 York Rd
Suite 100
Lutherville, MD 21093-6208
Phone (888) 972-9700

122 Defense Hwy
Suite 102
Annapolis, MD 21401-7044
Phone (888) 972-9700

124 Sister Pierre Dr
Towson, MD 21204-7507
Phone (888) 972-9700

1430 Progress Way
Suite 108
Eldersburg, MD 21784-6484
Phone (888) 972-9700

1600 Crain Hwy S
Suite 101
Glen Burnie, MD 21061-6440
Phone (888) 972-9700

1700 Reisterstown Rd
Baltimore, MD 21208-2935

200 Hospital Dr
Suite Ll20And112
Glen Burnie, MD 21061-5884
Phone (888) 972-9700

201 Plumtree Rd
Suite 101
Bel Air, MD 21015-6055
Phone (888) 972-9700

203 Hospital Dr
Suite 100
Glen Burnie, MD 21061-6904
Phone (888) 972-9700

2080 York Rd
Suite 160
Timonium, MD 21093-4249
Phone (888) 972-9700

21 Crossroads Dr
Suite 120
Owings Mills, MD 21117-5497
Phone (888) 972-9700

2700 Quarry Lake Dr
Suite 140
Baltimore, MD 21209-3761
Phone (888) 972-9700

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (888) 972-9700

4211 Blakely Ave
Baltimore, MD 21236-2456

4801 Dorsey Hall Dr
Ellicott City, MD 21042-7703

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (888) 972-9700

5500 Knoll N Dr
Suite 100
Columbia, MD 21045-2360
Phone (888) 972-9700

600 Ridgely Ave
Suite 100
Annapolis, MD 21401-1001
Phone (888) 972-9700

650 McHenry Rd
Suite 1400
Aberdeen, MD 21001-2607
Phone (443) 718-8709

6565 N Charles St
Suite 100
Baltimore, MD 21204-6807
Phone (888) 972-9700

6715 N Charles St
Suite 250
Towson, MD 21204-6822
Phone (888) 972-9700

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061693OHMDDiagnostic Neuroimaging (Radiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology P a Nuclear Medicine CurrentSince Aug 1, 2017 Accepting new patients
Advanced Radiology P a Nuclear Medicine CurrentSince Aug 1, 2017 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Neuroimaging Current Accepting new patients
Regional Diagnostics, LLC Diagnostic Radiology Past Accepting new patients
University Imaging Inc Nuclear Radiology Past Accepting new patients
Regional Diagnostics, LLC Diagnostic Radiology Past Accepting new patients
Regional Diagnostics LLC Past Accepting new patients
Regional Diagnostics LLC Past Accepting new patients
University Radiologists of Cleveland Inc Neuroradiology Past Accepting new patients
Neurology and Neuroscience Associates, Inc. Past Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1255378196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SEVERN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181906",
            "telephone_number": "216-926-6899",
            "fax_number": "216-371-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
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            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441181906",
            "telephone_number": "216-321-1203",
            "fax_number": "216-371-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREJT",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35061693",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "2085D0003X",
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            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "2085H0002X",
            "taxonomy_group": "",
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            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
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            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "207UN0903X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OH",
            "license": "35061693",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "OH",
            "license": "35061693",
            "primary": false
        }
    ],
    "identifiers": [
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            "desc": "Other (non-Medicare)",
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            "identifier": "000000503601",
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            "issuer": "BUCKEYE",
            "identifier": "745377",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.