Individual provider Active NPI

Geoffrey G Mountvarner, M.D.

  • Emergency Medicine Physician
  • Washington, DC
National Provider Identifier
1316947617
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0054648 Issued in MD
Practice address
2041 Georgia Ave NW
Emergency Dept Admin Office
Washington, DC 20060-0001
Phone
(202) 865-1121
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0054648 MD Primary

Addresses

Primary practice location

2041 Georgia Ave NW
Emergency Dept Admin Office
Washington, DC 20060-0001

Mailing address

12710 Woodbridge CT
Mitchellville, MD 20721-4243
Phone (202) 865-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20040416000582 MD Practitioner - Emergency Medicine 3274528567 Reassigns benefits to 2 organizations
I20050411000408 DC Practitioner - Emergency Medicine 3274528567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054648MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Emergency Medicine CurrentSince Mar 7, 2016 Accepting new patients
Johns Hopkins University CurrentSince Mar 7, 2016 Accepting new patients
Emergency Physician Associates of Maryland, P.C. Emergency Medicine Past Accepting new patients
Maryland Provo-I Medical Services, PC Emergency Medicine Past Accepting new patients
Delphi Healthcare Partners of Maryland LLC Past Accepting new patients
Caton Emergency Physicians Emergency Medicine Past Accepting new patients
Medlantic Healthcare Group Emergency Medicine Past Accepting new patients

Locations

900 S Caton Ave
#134
Baltimore, MD 21229
Phone (410) 368-2000

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

4940 Eastern Ave
Baltimore, MD 21224

2401 W Belvedere Ave
Baltimore, MD 21215

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

Interoperability endpoints

  • Direct secure messaging: gmountvarner1176295@meritus.direct-ci.net

Organizations & group practices 9

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316947617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 WOODBRIDGE CT",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214243",
            "telephone_number": "202-865-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "address_2": "EMERGENCY DEPT ADMIN OFFICE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTVARNER",
        "first_name": "GEOFFREY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0054648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.