Active NPI
Mary R Rifino, MD
- Family Medicine Physician
- Elkridge, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0043418
- Practice address
- 6518 Meadow Ridge Rd Ste 110
Elkridge, MD 21075-6458 - Phone
- (667) 234-8650
- Fax
- (667) 234-8655
- NPI assigned
- Mar 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0043418 | MD | Primary |
Addresses
Primary practice location
6518 Meadow Ridge Rd Ste 110
Elkridge, MD 21075-6458
Mailing address
6518 Meadow Ridge Rd Ste 110
Elkridge, MD 21075-6458
Phone (667) 234-8650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 759331700 | Medicaid | MD | |
| 0022 | Other | MD | CAREFIRST-DC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6518 Meadowridge Rd
Suite 110
Elkridge, MD 21075-6115
Phone (667) 234-8650
Hospital & facility affiliations
- University of MD Baltimore Washington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0043418 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038
6501 Huntshire Dr
Ste 109
Elkridge, MD 21075
Phone (410) 368-8650
6518 Meadowridge Rd
Ste 110
Elkridge, MD 21075
Phone (667) 234-8650
2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119
Interoperability endpoints
- mary.rifino@sah.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1285693697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6518 MEADOW RIDGE RD STE 110",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756458",
"telephone_number": "667-234-8650",
"fax_number": "667-234-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6518 MEADOW RIDGE RD STE 110",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756458",
"telephone_number": "667-234-8650",
"fax_number": "667-234-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFINO",
"first_name": "MARY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0043418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "759331700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST-DC",
"identifier": "0022",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.