Active NPI
Geoffrey G Mountvarner, M.D.
- Emergency Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0054648
- 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
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 |
|---|---|---|---|---|
| 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, DC
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.24 of 100
- Quality
- 75.4
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0054648 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Emergency Medicine | Current | Accepting new patients |
| Johns Hopkins University | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.