Active NPI
Vernissia Tam, MD
- Colon & Rectal Surgery Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- D0092081
- Practice address
- 194 Thomas Johnson Dr
Frederick, MD 21702-4679 - Phone
- (240) 575-2526
- Fax
- (240) 566-7868
- NPI assigned
- Oct 26, 2011
- Last updated
- Apr 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Colon & Rectal Surgery Physician | 208C00000X | D0092081 | MD | Primary |
Addresses
Primary practice location
194 Thomas Johnson Dr
Frederick, MD 21702-4679
Mailing address
2946 Woodvalley Dr.
Pikesville, MD 21208
Phone (401) 499-4294
Other practice location 1
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5080
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.07 of 100
- Quality
- 75.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0092081 | MD | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Medical Group LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1562 Opossumtown Pike
Ste 302
Frederick, MD 21702
194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452
Organizations & group practices 4
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.
-
dba Frederick Health Medical Group
- Family Medicine Physician
- Frederick, MD
- NPI 1619258225
-
- Family Medicine Physician
- Mount Airy, MD
- NPI 1114771862
-
dba Center for Breast Care
- Surgery Physician
- Frederick, MD
- NPI 1770850547
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Frederick Health Home Care
- Home Health Agency
- Frederick, MD
- NPI 1306842174
-
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": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1528344116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 WOODVALLEY DR.",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "21208",
"telephone_number": "401-499-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024679",
"telephone_number": "240-575-2526",
"fax_number": "240-566-7868"
}
],
"practiceLocations": [
{
"address_1": "600 N Wolfe St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870005",
"country_code": "US",
"telephone_number": "410-955-5080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAM",
"first_name": "VERNISSIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MD",
"license": "D0092081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.