Active NPI
Mark Brejt, MD
- Diagnostic Radiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35061693
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000503601 | Other | OH | ANTHEM |
| 0304914 | Other | OH | BCMH |
| P00412293 | Other | OH | RAILROAD MEDICARE |
| 0018157540006 | Medicaid | PA | |
| 0907853 | Medicaid | OH | |
| 363378 | Other | OH | WELLCARE |
| 000000221357 | Other | OH | UNISON |
| 4334561 | Other | OH | AETNA |
| 745377 | Other | OH | BUCKEYE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 a
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
- University of MD Baltimore Washington Medical Center
- University of MD St Joseph Medical Center
- Greater Baltimore Medical Center
- University of Maryland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35061693 | OH | MD | Diagnostic Neuroimaging (Radiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Radiology P a | Nuclear Medicine | Current | Accepting new patients |
| Advanced Radiology P a | Nuclear Medicine | Current | 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.
-
- Diagnostic Radiology Physician
- Owings Mills, MD
- NPI 1932167178
MD, Nuclear Medicine
-
- Diagnostic Radiology Physician
- La Plata, MD
- NPI 1467996959
Diagnostic Neuroimaging
-
- Neurology Physician
- Akron, OH
- NPI 1184675720
-
- Mammography Clinic/Center
- Mentor, OH
- NPI 1003830522
-
- Radiology Clinic/Center
- Painesville, OH
- NPI 1992881023
-
- Diagnostic Radiology Physician
- Cleveland, OH
- NPI 1619123858
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Bedford HTS, OH
- NPI 1881695575
Diagnostic Radiology
-
- Nurse Practitioner
- Cleveland, OH
- NPI 1295788149
Neuroradiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
Hospital
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
Hospital
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Hospital
-
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
Hospital
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
Hospital
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",
"address_type": "DOM",
"address_1": "3621 SEVERN RD",
"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",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "OH",
"license": "35061693",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "OH",
"license": "35061693",
"primary": false
},
{
"code": "2085H0002X",
"taxonomy_group": "",
"desc": "Radiology, Hospice and Palliative Medicine",
"state": "OH",
"license": "35061693",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OH",
"license": "35061693",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000503601",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "0304914",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00412293",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018157540006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0907853",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "363378",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000221357",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4334561",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE",
"identifier": "745377",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.