Michael Gasparovich, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0067888 Issued in MD

Practice address

2977 4H Park Rd Ste 202
Centreville, MD 21617-2226

Phone

(410) 989-9859

Fax

(877) 451-0302

NPI assigned

Sep 2, 2005

Sex

Male

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 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.gasparovich.1@14940.direct.athenahealth.com

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.

• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment NPD
• Everside Health-Queen Anne'S Health Center

  • Family Medicine Physician
  • Centreville, MD
  • NPI 1881303584
  NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• Lourdes Medical Associates PA

  • Family Medicine Physician
  • Haddon Heights, NJ
  • NPI 1568441541
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1598759706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 4H PARK RD STE 202",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172226",
            "telephone_number": "410-989-9859",
            "fax_number": "877-451-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 4H PARK RD STE 202",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "216172226",
            "telephone_number": "410-989-9859",
            "fax_number": "877-451-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPAROVICH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0067888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02228820",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric F Ciganek MD
• Everside Health-Queen Anne'S Health Center
• Lisa Ford, OTR
• Gary B. Fry, LCA066
• Dieudonne Fuh, PHARMD
• Genesis Rehab Services Corsica Hills
• Gene Giles
• Valerie Ellen Goodman, DO
• Goodwill Fire Company Incorporated
• Kathryn Watson Gowl, PT

• Family Medicine Physician in Centreville, MD
• Providers in Centreville, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.