Elizabeth Jane Bruchey, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004030 Issued in MD

Practice address

9105 Franklin Square Dr
Suite 209
Baltimore, MD 21237-3930

Phone

(410) 602-9262

Fax

(410) 602-9276

NPI assigned

May 12, 2006

Last updated

Aug 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Elizabeth Jane Hays Former name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015

Merit-based Incentive Payment System (MIPS)

Final score

82.34 of 100Reported as group

Quality

67.9

Promoting interoperability

100

Improvement activities

40

Cost

69.47

Merit-based Incentive Payment System (MIPS)

Final score

85.94 of 100Reported as group

Quality

66.29

Promoting interoperability

100

Improvement activities

40

Cost

74.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187
  Medicare reassignment Care Compare group NPD
• Medstar Heart Institute LLC

  • Surgery Physician
  • Washington, DC
  • NPI 1528345378

  MD

  Medicare reassignment Care Compare group
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• Midatlantic Cardiovascular Associates PA

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1821084112
  NPD (past)
• Cardiovascular Group, PC

  • Cardiovascular Disease Physician
  • Lawrenceville, GA
  • NPI 1215980479
  NPD (past)

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

• Franklin Square Hospital Center, Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1184712085
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1326098849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 150 LL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-9262",
            "fax_number": "410-602-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR",
            "address_2": "SUITE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373930",
            "telephone_number": "410-602-9262",
            "fax_number": "410-602-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCHEY",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004030",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "4756",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "168403YUT",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HAYS",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce Hyatt (roland park vision service)
• Bruce L Regan, MD Chartered
• Cheryl Bruce-Watts, APRN, BC
• Alexis D Bruce, LCSW-C
• Heather Bruce, M.D.
• Alexa Bruck, LMSW
• Chana Rochel Bruckenstein, LCPC
• Jennifer Brudno
• Paula Andrea de Jesus Bruges Silvera, MD
• Ann Brugh, PSY.D.

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.

Verify at the official NPI Registry.