Active NPI
Terence Bertele, M.D.
- Cardiovascular Disease Physician
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0030041
- Practice address
- 12070 Old Line Ctr
Ste 303
Waldorf, MD 20602-2513 - Phone
- (301) 645-5100
- Fax
- (301) 645-3695
- NPI assigned
- Nov 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0030041 | MD | Primary |
| Cardiovascular Disease Physician | 207RC0000X | MD12286 | DC | |
| Cardiovascular Disease Physician | 207RC0000X | 101031774 | VA |
Addresses
Primary practice location
12070 Old Line Ctr
Ste 303
Waldorf, MD 20602-2513
Mailing address
12070 Old Line Ctr
Ste 303
Waldorf, MD 20602-2513
Phone (301) 645-5100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410942-01 | Other | MD | BCBS |
| 491041900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- 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 Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12070 Old Line Ctr
Waldorf, MD 20602-2513
12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-3535
Phone (301) 645-5100
5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000
701 Charles St
La Plata, MD 20646-5930
Phone (301) 609-5200
901 23Rd St NW
Gwuh Cardiology Dept
Washington, DC 20037-2327
Phone (301) 645-5100
Hospital & facility affiliations
- Calverthealth Medical Center
- University of MD Charles Regional Medical Center
- Medstar Saint Mary'S Hospital
- Medstar Southern Maryland Hospital Center
- University of MD Capital Region Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.13 of 100
- Quality
- 56.88
- Improvement activities
- 40
- Cost
- 66.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12286 | DC | MD | Cardiovascular Disease Physician |
| D0030041 | MD | MD | Cardiovascular Disease Physician |
| 101031774 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Civista Medical Center, Inc. | Current | Accepting new patients | |
| Pediatrix Medical Group of the Mid-Atlantic PC | Past | Accepting new patients |
Interoperability endpoints
- tbertele547911@direct.umm.edu
Organizations & group practices 4
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.
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
-
- Physical Therapist
- La Plata, MD
- NPI 1689071219
-
- Maternal & Fetal Medicine Physician
- Rockville, MD
- NPI 1205859691
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
-
- Rural Acute Care Hospital
- La Plata, MD
- NPI 1992701825
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1326039579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12070 OLD LINE CTR",
"address_2": "STE 303",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022513",
"telephone_number": "301-645-5100",
"fax_number": "301-645-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12070 OLD LINE CTR",
"address_2": "STE 303",
"city": "WALDORF",
"state": "MD",
"postal_code": "206022513",
"telephone_number": "301-645-5100",
"fax_number": "301-645-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTELE",
"first_name": "TERENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0030041",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "DC",
"license": "MD12286",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "101031774",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "410942-01",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "491041900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.