Individual provider Active NPI

Terence Bertele, M.D.

  • Cardiovascular Disease Physician
  • Waldorf, MD
National Provider Identifier
1326039579
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0030041 Issued in MD
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

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
410942-01OtherMDBCBS
491041900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20101130001366 DC Practitioner - Cardiovascular Disease (Cardiology) 3779569744 Reassigns benefits to 1 organization
I20110103000044 MD Practitioner - Cardiovascular Disease (Cardiology) 3779569744 Reassigns benefits to 2 organizations

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
Chesapeakeandwashington Heart Care, PCGroup PAC ID 5496731440, 11 clinicians
Civista Medical Center IncGroup PAC ID 7618864976, 13 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
74.13 of 100Reported as individual
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

LicenseStateTypeSpecialty
MD12286DCMDCardiovascular Disease Physician
D0030041MDMDCardiovascular Disease Physician
101031774VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Civista Medical Center, Inc. CurrentSince Jun 9, 2016 Accepting new patients
Pediatrix Medical Group of the Mid-Atlantic PC PastSince Oct 14, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.