Active NPI
Michael Mardiney III, M.D.
- Allergy & Immunology Physician
- Ellicott City, MD
National Provider Identifier
1609827724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- D0043585
- Practice address
- 3105 N Ridge Rd
Ellicott City, MD 21043-3348 - Phone
- (410) 461-7660
- Fax
- (410) 461-2853
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | D0043585 | MD | Primary |
Addresses
Primary practice location
3105 N Ridge Rd
Ellicott City, MD 21043-3348
Mailing address
PO Box 609
Ellicott City, MD 21041-0609
Phone (410) 461-4500
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
- Allergy/Immunology
- Education
- Georgetown University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3105 N Ridge Rd
Ellicott City, MD 21043-3348
Phone (410) 461-7660
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.81 of 100
- Quality
- 71.67
- Improvement activities
- 40
- Cost
- 67.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0043585 | MD | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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 Mardiney Asthma, Allergy and Immunology Centers
- Allergy & Immunology Physician
- Ellicott City, MD
- NPI 1407239510
-
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": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1609827724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210410609",
"telephone_number": "410-461-4500",
"fax_number": "410-461-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 N RIDGE RD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433348",
"telephone_number": "410-461-7660",
"fax_number": "410-461-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARDINEY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MD",
"license": "D0043585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.