Individual provider Active NPI

Elzbieta Maria Mroz, M.D.

  • Family Medicine Physician
  • Elkton, MD
National Provider Identifier
1376742536
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0071046 Issued in MD
Practice address
111 W High St Ste 214
Elkton, MD 21921-8611
Phone
(410) 996-9434
Fax
(410) 996-9493
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0071046 MD Primary

Addresses

Primary practice location

111 W High St Ste 214
Elkton, MD 21921-8611

Mailing address

7TH and Clayton Streets
Wilmington, DE 19805
Phone (302) 575-8040

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
I20110107000546 MD Practitioner - Family Practice 4880883792 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Monteleone MD and Barbara Parey MD PA Family Medicine CurrentSince Sep 13, 2010 Accepting new patients
Manbir Takhar, P.C. CurrentSince Jul 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 W High St
Ste 214
Elkton, MD 21921
Phone (310) 428-1070

Interoperability endpoints

  • Direct secure messaging: elzbieta.mroz.1@20907.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1376742536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7TH AND CLAYTON STREETS",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-575-8040",
            "fax_number": "302-575-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W HIGH ST STE 214",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219218611",
            "telephone_number": "410-996-9434",
            "fax_number": "410-996-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZ",
        "first_name": "ELZBIETA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0071046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.