NPIMap

Organization Active NPI

Cardiovascular Associates of Maryland LLC

  • Cardiovascular Disease Physician
  • Bel Air, MD
National Provider Identifier
1447680137
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR ASSOCIATES OF MARYLAND LLC
Practice address
2021B Emmorton Rd Ste 110
Bel Air, MD 21015-8965
Phone
(410) 638-9950
Fax
(410) 638-9956
NPI assigned
Nov 18, 2013
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Mary Wright-Sisk
Title
Director
Phone
(443) 422-9941

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD Primary
Interventional Cardiology Physician 207RI0011X MD
Nuclear Cardiology Physician 207UN0901X MD

Addresses

Primary practice location

2021B Emmorton Rd Ste 110
Bel Air, MD 21015-8965

Mailing address

602 S Atwood Rd
Suite 100
Bel Air, MD 21014-4172
Phone (410) 877-7777

Other practice location 1

602 S Atwood Rd
Suite 100
Bel Air, MD 21014-4172
Phone (410) 877-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140716001231 MD Part B Supplier - Clinic/Group Practice 8527284116 Receives reassigned benefits from 6 practitioners
Practice locations: Bel Air, MD; Edgewood, MD; Nottingham, MD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1447680137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S ATWOOD RD",
            "address_2": "SUITE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144172",
            "telephone_number": "410-877-7777",
            "fax_number": "410-638-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021B EMMORTON RD STE 110",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210158965",
            "telephone_number": "410-638-9950",
            "fax_number": "410-638-9956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 S Atwood Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210144172",
            "country_code": "US",
            "telephone_number": "410-877-7777",
            "fax_number": "410-638-9956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF MARYLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-SISK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-422-9941"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.