Individual provider Active NPI

Maria Martha Carrillo Raymundo, MD

  • Internal Medicine Physician
  • Towson, MD
National Provider Identifier
1598123754
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0054518 Issued in MD
Practice address
6701 N Charles St
Suite 4202
Towson, MD 21204-6808
Phone
(410) 821-8444
Fax
(410) 821-8447
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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 D0054518 MD Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D0054518 MD

Addresses

Primary practice location

6701 N Charles St
Suite 4202
Towson, MD 21204-6808

Mailing address

6701 N Charles St
Suite 4202
Towson, MD 21204-6808
Phone (410) 821-8444

Other names 1

  • Martha Raymundo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20040426000931 MD Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6406843200 Reassigns benefits to 1 organization
I20160728000096 DC Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6406843200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
43.34 of 100Reported as group
Quality
0
Promoting interoperability
94
Improvement activities
0
Cost
49.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054518MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Jun 1, 2016 Accepting new patients
Samer Saiedy, MD PA CurrentSince Aug 1, 2018 Accepting new patients
Hyperheal Hyperbarics Inc CurrentSince Jun 1, 2016 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 1, 2016 Accepting new patients
Gary a Pichney DPM Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1811 Crain Hwy S
Ste B
Glen Burnie, MD 21061

1500 Blenhiem Farm Ln
Hvre de Grace, MD 21078
Phone (410) 825-4530

1212 York Rd
Ste B201
Lutherville Timonium, MD 21093
Phone (410) 337-7755

9411 Philadelphia Rd
Ste F
Rosedale, MD 21237
Phone (410) 433-4300

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Organizations & group practices 6

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1598123754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "SUITE 4202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "410-821-8444",
            "fax_number": "410-821-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "SUITE 4202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "410-821-8444",
            "fax_number": "410-821-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMUNDO",
        "first_name": "MARIA MARTHA",
        "middle_name": "CARRILLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054518",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0054518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "RAYMUNDO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.