Active NPI
Eugenio Machado, M.D.
- Internal Medicine Physician
- Silver Spring, MD
National Provider Identifier
1457383077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0024035
- Practice address
- 3110 Gracefield Rd
Silver Spring, MD 20904-1820 - Phone
- (301) 572-8340
- Fax
- (301) 572-8403
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0024035 | MD | Primary |
Addresses
Primary practice location
3110 Gracefield Rd
Silver Spring, MD 20904-1820
Mailing address
5525 Research Park Dr FL 4
Baltimore, MD 21228-4873
Phone (301) 572-8340
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008203102 | Medicaid | MD | |
| 340040-20 | Other | MD | BCBS OF MD |
| 0039 | Other | DC | BCBS OF DC |
| 04-05771 | Other | MD | EVERCARE |
| 0943ER-340040-02 | Other | CAREFIRST BCBS OF MD | |
| 34004002 | Other | BCBS | |
| 0943SE-340040-02 | Other | CAREFIRST BCBS OF MD | |
| 313841100 | Medicaid | MD | |
| 9680-0025 | Other | CAREFIRST BCBS OF DC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040520000517 | DC | Practitioner - Internal Medicine | 5698766459 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0024035 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1457383077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 RESEARCH PARK DR FL 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284873",
"telephone_number": "301-572-8340",
"fax_number": "301-572-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 GRACEFIELD RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041820",
"telephone_number": "301-572-8340",
"fax_number": "301-572-8403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHADO",
"first_name": "EUGENIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0024035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008203102",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD",
"identifier": "340040-20",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DC",
"identifier": "0039",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "04-05771",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS OF MD",
"identifier": "0943ER-340040-02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "34004002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS OF MD",
"identifier": "0943SE-340040-02",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313841100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS OF DC",
"identifier": "9680-0025",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.