Mary Kathryn Barth, PA-C
Individual provider Active NPI Medical Physician Assistant · Chevy Chase, MD
NPI 1508104993 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1508104993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C0004964 (MD)
- Practice address
- 8401 Connecticut Ave PH Suite
Chevy Chase, MD 20815-5822 - Phone
- (301) 942-2212
- Fax
- (415) 252-7176
- NPI assigned
- Jan 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- One Medstar Primary Care LLC
Practice addresses (Care Compare)
1001 G St NW
Suite 200E
Washington, DC 20001-4546
Phone (202) 660-0005
601 New Jersey Ave NW
Suite 200
Washington, DC 20001-3030
Phone (202) 660-0005
8401 Connecticut Ave
PH Suite
Chevy Chase, MD 20815-5822
Phone (202) 660-0015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201214002067 | DC | Practitioner - Physician Assistant | 8224283205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5910 | AZ | MD | Physical Therapist |
| C0004964 | MD | MD | Medical Physician Assistant |
| 1696 | NE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare Inc | Past | Accepting new patients | |
| North Country Healthcare, Inc. | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1696 | NE | |
| Medical Physician Assistant | 363AM0700X | C0004964 | MD | Yes |
Addresses
Primary practice location
8401 Connecticut Ave PH Suite
Chevy Chase, MD 20815-5822
Mailing address
8401 Connecticut Ave PH Suite
Chevy Chase, MD 20815-5822
Phone (301) 942-2212
Other providers in Chevy Chase, MD
- Kelly Ballesteros Buitrago
- Lynn Amy Balzer-Martin
- Deborah Joanne Barbour
- Kent S Bare
- Frederick Greiner Barr
- Lou James Bartolo
- Supria Batra
- Neha Batta
- William E. Battle
- Alona Bauer
All providers in Chevy Chase, MD · Medical Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.