Individual provider Active NPI

Mary A Mitchell, D.O.

  • Family Medicine Physician
  • College Park, MD
National Provider Identifier
1265815567
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H85485 Issued in MD
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

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180918000503 DC Practitioner - Internal Medicine 6002167988 Reassigns benefits to 2 organizations
I20201102000440 MD Practitioner - Family Practice 6002167988 Reassigns benefits to 2 organizations

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
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

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

LicenseStateTypeSpecialty
H85485MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 15, 2022 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 15, 2022 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Capital Healthcare PC CurrentSince Oct 1, 2020 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.

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

Verify at the official NPI Registry.