Individual provider Active NPI

Casey H Mabry, M.D.

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1366805145
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D89460 Issued in MD
Practice address
6740 Alexander Bell Dr
Columbia, MD 21046-2248
Phone
(410) 564-0000
NPI assigned
Mar 30, 2016
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D89460 MD
Internal Medicine Physician 207R00000X D89460 MD Primary

Addresses

Primary practice location

6740 Alexander Bell Dr
Columbia, MD 21046-2248

Mailing address

6740 Alexander Bell Dr
Columbia, MD 21046-2248
Phone (410) 564-0000

Other practice location 1

2850 N Ridge Rd Ste 103
Ellicott City, MD 21043-3396
Phone (410) 465-8119

Other practice location 2

22 S Greene St
Pediatric Education Office-N5W70
Baltimore, MD 21201-1544
Phone (410) 328-6662

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630000064 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9032404645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

203 Hospital Dr
Suite 200
Glen Burnie, MD 21061-6905
Phone (410) 553-8079

300 Hospital Dr
Glen Burnie, MD 21061-5706

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D89460MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince May 13, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. Pediatrics CurrentSince May 13, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

2850 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 461-1600

300 Hospital Dr
Ste 119
Glen Burnie, MD 21061
Phone (410) 553-8240

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

203 Hospital Dr
Ste 200
Glen Burnie, MD 21061
Phone (410) 553-8362

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1366805145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 ALEXANDER BELL DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462248",
            "telephone_number": "410-564-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 ALEXANDER BELL DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462248",
            "telephone_number": "410-564-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2850 N Ridge Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210433396",
            "country_code": "US",
            "telephone_number": "410-465-8119",
            "fax_number": "410-203-2016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St",
            "address_2": "Pediatric Education Office-N5W70",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABRY",
        "first_name": "CASEY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D89460",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D89460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.