Marie Fernicola Pennanen, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

16392 Issued in DC

Practice address

5530 Wisconsin Ave
Suite 1455
Chevy Chase, MD 20815-4404

Phone

(301) 656-9010

Fax

(601) 656-9011

NPI assigned

Oct 12, 2005

Last updated

May 12, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

General Surgery

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chevy Chase Surgical Associates, P.C.Group PAC ID 3274611751, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
• Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpennanen52203@direct.hopkinsmedicine.org

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.

• Chevy Chase Surgical Associates, P.C.

  • Surgery Physician
  • Chevy Chase, MD
  • NPI 1396876629

  DC, Surgical Oncology

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Prall Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Chevy Chase, MD
  • NPI 1134093875
  NPD (past)
• Washington Institute of Surgery LLC

  • Surgery Physician
  • Potomac, MD
  • NPI 1396089868
  NPD (past)

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

• Lucy Webb Hayes National Training School for Deaconesses & Missionarie

  dba Sibley Memorial Hospital

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1366492977
  Care Compare affiliation
• Medstar - Georgetown Medical Center, Inc.

  dba Georgetown University Hospital

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1427145176
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1457349615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70626",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208130626",
            "telephone_number": "301-656-9010",
            "fax_number": "301-656-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 1455",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-9010",
            "fax_number": "601-656-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNANEN",
        "first_name": "MARIE",
        "middle_name": "FERNICOLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "DC",
            "license": "16392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Paul, PHD
• Ronald A. Paul, M.D.
• Maria Pearl, MD
• Khendra Iman Peay, M.D.
• Gary L. Peck, MD
• Daniel J. Pereles, M.D.
• Chava Perelman, OTR, CHT
• Ricardo A Perez, DDS
• Dace B Person
• Personalized Rehab & Exercise Inc. (WCDI Physical Therapy)

• Surgical Oncology Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Surgical Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.