NPIMap

Individual provider Active NPI

Marcelino Daniel Albuerne, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Catonsville, MD
National Provider Identifier
1306817341
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D0029769 Issued in MD
Practice address
516 N Rolling Rd
Suite 106
Catonsville, MD 21228-4140
Phone
(410) 744-4044
Fax
(410) 744-7923
NPI assigned
Jan 28, 2006
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D0029769 MD Primary

Addresses

Primary practice location

516 N Rolling Rd
Suite 106
Catonsville, MD 21228-4140

Mailing address

10309 Wetherburn Rd
Ellicott City, MD 21042-1687
Phone (410) 465-6882

Other identifiers 5

IdentifierTypeStateIssuer
41014402 (RENDERING)OtherMDCAREFIRST
P00830020OtherGARAILROAD MEDICARE
R704 0001OtherDCCAREFIRST
342001900OtherMDMEDICAL ASSISTANCE
587P212HOtherMDMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000423 MD Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6305843129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

516 N Rolling Rd
Suite 106 Mdamd Catonsville
Catonsville, MD 21228-4141
Phone (410) 744-4044

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0029769MDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 24, 2015 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Care Center LLC CurrentSince Apr 5, 2017 Accepting new patients
Privia Care Center LLC CurrentSince Apr 5, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 24, 2015 Accepting new patients
1502 Frederick Road Opco LLC Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Academy MD Opco Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
St.Joseph's Nursing Home Past Accepting new patients
Meadow Park Operator LLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

516 N Rolling Rd
Ste 106
Catonsville, MD 21228
Phone (410) 744-4044

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: marcelino.albuerne.1@8042.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1306817341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 WETHERBURN RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421687",
            "telephone_number": "410-465-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD",
            "address_2": "SUITE 106",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284140",
            "telephone_number": "410-744-4044",
            "fax_number": "410-744-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBUERNE",
        "first_name": "MARCELINO",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0029769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "41014402 (RENDERING)",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00830020",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "R704 0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "342001900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "587P212H",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.