NPIMap

Individual provider Active NPI

Avron Marcus, M.D.

  • Specialist
  • Glen Burnie, MD
National Provider Identifier
1528053956
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0063516 Issued in MD
Practice address
802 Landmark Dr Ste 119
Glen Burnie, MD 21061-9121
Phone
(410) 760-8840
Fax
(410) 367-2464
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0063516 MD Primary

Addresses

Primary practice location

802 Landmark Dr Ste 119
Glen Burnie, MD 21061-9121

Mailing address

802 Landmark Dr Ste 119
Glen Burnie, MD 21061-9121
Phone (410) 760-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050929000687 MD Practitioner - Otolaryngology 9739159864 Reassigns benefits to 1 organization
I20060127000066 DC Practitioner - Otolaryngology 9739159864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Emory University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Regional Physicians LLCGroup PAC ID 3274720552, 83 clinicians

Practice addresses (Care Compare)

1132 Annapolis Rd
Odenton, MD 21113-1672
Phone (410) 760-8840

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
65.13
Promoting interoperability
98
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063516MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC CurrentSince Nov 1, 2017 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Jan 14, 2026 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Nov 1, 2017 Accepting new patients
Johns Hopkins Regional Physicians LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

129 Lubrano Dr
Ste L100
Annapolis, MD 21401
Phone (240) 274-1377

1630 Main St
Ste 217
Chester, MD 21619
Phone (240) 274-1377

10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979

802 Landmark Dr
Ste 119
Glen Burnie, MD 21061
Phone 4107608840203

203 Hospital Dr
Ste 200
Glen Burnie, MD 21061
Phone (410) 553-8362

14201 Laurel Park Dr
Ste 115
Laurel, MD 20707
Phone (301) 490-8083

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

1132 Annapolis Rd
Ste 106
Odenton, MD 21113

Interoperability endpoints

  • Direct secure messaging: amarcus776916@direct.hopkinsmedicine.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528053956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 LANDMARK DR STE 119",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619121",
            "telephone_number": "410-760-8840",
            "fax_number": "410-367-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 LANDMARK DR STE 119",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210619121",
            "telephone_number": "410-760-8840",
            "fax_number": "410-367-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "AVRON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0063516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.