Mardi Gomberg-Maitland, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036109604 Issued in IL

Practice address

2150 Pennsylvania Ave NW
Washington, DC 20037-3201

Phone

(202) 795-2792

Fax

(202) 741-2299

NPI assigned

Dec 18, 2006

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Albert Einstein College of Medicine of Yeshiva University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• George Washington Univ Hospital Hospital, Washington, DC, CCN 090001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgombergmaitland19619@gwmfa.direct-ci.com

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.

• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581
  Medicare reassignment Care Compare group NPD
• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  DC

  Medicare reassignment NPD
• Inova Health Care Services

  dba Inova Blood Donor Services

  • Medical Technologist
  • Sterling, VA
  • NPI 1699655589
  NPD
• District Hospital Partners L P

  dba The George Washington University Hospital

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1487640207
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Mount Sinai School of Medicine

  dba Mt. Sinai EKG Associates

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1043394778
  NPD (past)
• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742

  Cardiovascular Disease

  NPD (past)

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

• District Hospital Partners L P

  dba The George Washington University Hospital

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1487640207
  Care Compare affiliation

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1548323066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-795-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-795-2792",
            "fax_number": "202-741-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBERG-MAITLAND",
        "first_name": "MARDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036109604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119261200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028257591",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548323066",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillie D. Golson, R.PH.
• Joshua Golt, PHD
• Mariam S Gomaa, MD
• Elizabeth J Gomart
• Vasanthi Gomathinayagam, M.D.
• Armelle Gombitang
• Lida E. Gombo, HHA
• Samantha Alice Gomella, MS, PA-C
• Brigitte Gomepond
• Paula Gomes Toledo Barros Costantino, MD

• Cardiovascular Disease Physician in Washington, DC
• Providers in Washington, DC by specialty
• Cardiovascular Disease Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.

Verify at the official NPI Registry.