Individual provider Active NPI

Haizia Lamia Amsler, M.D.

  • Internal Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1265612618
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0070027 Issued in MD
Practice address
201 Russell Ave
Gaithersburg, MD 20877-2800
Phone
(301) 557-2110
Fax
(301) 557-2120
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 41830 KY
Internal Medicine Physician 207R00000X D0070027 MD Primary

Addresses

Primary practice location

201 Russell Ave
Gaithersburg, MD 20877-2800

Mailing address

18117 Ivy LN
Olney, MD 20832-2009

Other practice location 1

9115 Leesgate Rd
Suite A
Louisville, KY 40222-5003
Phone (502) 429-8011

Other practice location 2

18530 Office Park Dr
Montgomery Village, MD 20886-0586
Phone (301) 557-1540

Other identifiers 3

IdentifierTypeStateIssuer
000057415GOtherKYHUMANA
7100078820MedicaidKY
000000602803OtherKYANTHEM

Other names 1

  • Haizia Lamia Mechentel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MD, DC3 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
I20080911000034 KY Practitioner - Internal Medicine 1153497441 Reassigns benefits to 2 organizations
I20110525000103 MD Practitioner - Internal MedicinePractitioner - Hospitalist 1153497441 Reassigns benefits to 3 organizations
I20140509000801 DC Practitioner - Internal Medicine 1153497441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zeus Primary Care Associates LLCGroup PAC ID 7113343443, 15 clinicians

Practice addresses (Care Compare)

50 W Edmonston Dr
Suite 404
Rockville, MD 20852-1274
Phone (301) 762-7723

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070027MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 14, 2015 Accepting new patients
Mdics at Meritus Medical Center, LLC Hospitalist CurrentSince Feb 25, 2022 Accepting new patients
Hospital Medicine Services of Ky, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Atlantic General Hospital Corporation Internal Medicine Past Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1265612618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18117 IVY LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RUSSELL AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772800",
            "telephone_number": "301-557-2110",
            "fax_number": "301-557-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9115 Leesgate Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225003",
            "country_code": "US",
            "telephone_number": "502-429-8011",
            "fax_number": "502-429-6389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18530 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery Village",
            "state": "MD",
            "postal_code": "208860586",
            "country_code": "US",
            "telephone_number": "301-557-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMSLER",
        "first_name": "HAIZIA",
        "middle_name": "LAMIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "41830",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0070027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000057415G",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100078820",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000602803",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAIZIA",
            "last_name": "MECHENTEL",
            "middle_name": "LAMIA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.