Active NPI
Mary A Mitchell, D.O.
- Family Medicine Physician
- College Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H85485
- Practice address
- 7305 Baltimore Ave Ste 107
College Park, MD 20740-3232 - Phone
- (301) 864-2100
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | H85485 | MD | Primary |
Addresses
Primary practice location
7305 Baltimore Ave Ste 107
College Park, MD 20740-3232
Mailing address
9396 Baltimore National Pike
Ellicott City, MD 21042-2802
Phone (410) 480-9110
Other practice location 1
45325 Abell House Ln
California, MD 20619-3211
Phone (301) 862-1807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505
12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8087
6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890
6334 Cedar LN
Columbia, MD 21044-3898
Phone (410) 531-2487
6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067
7698 Dorchester Blvd
Hanover, MD 21076-1946
Phone (443) 755-9253
7825 York Rd
Towson, MD 21204-7445
Phone (443) 332-4353
8125 Ritchie Hwy
Suite H
Pasadena, MD 21122-6925
Phone (410) 544-2075
8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310
882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H85485 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Adventist Physician Services, Inc. | Current | Accepting new patients | |
| Medstar Urgent Care, LLC | Current | Accepting new patients | |
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Capital Healthcare PC | Current | Accepting new patients |
Locations
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
7305 Baltimore Ave
Ste 107
College Park, MD 20740
Phone (301) 375-0110
8205 Snowden River Pkwy
Columbia, MD 21045
Phone (410) 290-9990
9396 Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 216-6891
820 W Diamond Ave
Ste 400
Gaithersburg, MD 20878
Phone (301) 315-3140
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505
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.
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC
-
- General Practice Physician
- Lexington Park, MD
- NPI 1275410474
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1942623319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1265815567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9396 BALTIMORE NATIONAL PIKE",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210422802",
"telephone_number": "410-480-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 BALTIMORE AVE STE 107",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207403232",
"telephone_number": "301-864-2100"
}
],
"practiceLocations": [
{
"address_1": "45325 Abell House Ln",
"address_purpose": "LOCATION",
"city": "California",
"state": "MD",
"postal_code": "206193211",
"country_code": "US",
"telephone_number": "301-862-1807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H85485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.