NPIMap

Individual provider Active NPI

Elizabeth Hurt, DO

  • Cardiovascular Disease Physician
  • Waldorf, MD
National Provider Identifier
1386812113
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H81021 Issued in MD
Practice address
12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513
Phone
(301) 645-5100
NPI assigned
Feb 14, 2008
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H81021 MD
Cardiovascular Disease Physician 207RC0000X H81021 MD Primary

Addresses

Primary practice location

12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513

Mailing address

12070 Old Line Ctr
Suite 303
Waldorf, MD 20602-2513
Phone (301) 645-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160419000698 MD Practitioner - Nuclear MedicinePractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8921228867 Reassigns benefits to 1 organization
I20161216000260 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921228867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deborah Cardiovascular Group, P.C.Group PAC ID 7618962549, 40 clinicians

Practice addresses (Care Compare)

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.95 of 100Reported as group
Quality
71.98
Promoting interoperability
90
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H81021MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Nov 14, 2016 Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Civista Medical Center, Inc. CurrentSince Jul 22, 2016 Accepting new patients
Civista Medical Center, Inc. CurrentSince Jul 22, 2016 Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Nov 14, 2016 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Civista Medical Center Inc Current Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

701 Charles St
La Plata, MD 20646
Phone (301) 609-4000

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

1364 Route 72 W
Ste 5
Manahawkin, NJ 08050
Phone (609) 978-0778

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1386812113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR",
            "address_2": "SUITE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022513",
            "telephone_number": "301-645-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR",
            "address_2": "SUITE 303",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022513",
            "telephone_number": "301-645-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H81021",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "H81021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.