Individual provider Active NPI

Nicholas W Morog, MD

  • Internal Medicine Physician
  • Elkridge, MD
National Provider Identifier
1477512887
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0050812 Issued in MD
Practice address
6518 Meadowridge Rd
Suite 110
Elkridge, MD 21075-6403
Phone
(410) 368-8650
Fax
(410) 368-8655
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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 D0050812 MD Primary
Pediatrics Physician 208000000X D0050812 MD

Addresses

Primary practice location

6518 Meadowridge Rd
Suite 110
Elkridge, MD 21075-6403

Mailing address

6518 Meadowridge Rd Ste 110
Elkridge, MD 21075-6458
Phone (667) 234-8650

Other identifiers 2

IdentifierTypeStateIssuer
0021OtherMDCAREFIRST-DC
520590500MedicaidMD

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
I20040518001571 MD Practitioner - Internal Medicine 2769473842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

6518 Meadowridge Rd
Suite 110
Elkridge, MD 21075-6115
Phone (667) 234-8650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050812MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

6518 Meadowridge Rd
Ste 110
Elkridge, MD 21075
Phone (667) 234-8650

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

Interoperability endpoints

  • Direct secure messaging: nicholas.morog@sah.eclinicaldirectplus.com

Organizations & group practices 2

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1477512887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 MEADOWRIDGE RD STE 110",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756458",
            "telephone_number": "667-234-8650",
            "fax_number": "667-234-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 MEADOWRIDGE RD",
            "address_2": "SUITE 110",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756403",
            "telephone_number": "410-368-8650",
            "fax_number": "410-368-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROG",
        "first_name": "NICHOLAS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050812",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0050812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-DC",
            "identifier": "0021",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520590500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.