Active NPI
Mary Ann Lange Bishop, MD
- Nephrology Physician
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- D0037504
- Practice address
- 7 Metropolitan CT Ste 1
Gaithersburg, MD 20878-4016 - Phone
- (240) 773-0300
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | D0037504 | MD | Primary |
Addresses
Primary practice location
7 Metropolitan CT Ste 1
Gaithersburg, MD 20878-4016
Mailing address
9808 Log House CT
Gaithersburg, MD 20882-2704
Phone (301) 540-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151016000089 | MD | Practitioner - Nephrology | 9335280676 | Reassigns benefits to 2 organizations |
| I20200908000306 | VA | Practitioner - Nephrology | 9335280676 | Reassigns benefits to 1 organization |
| I20220725001566 | TN | Practitioner - Nephrology | 9335280676 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Michigan Medical School, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upmc Western Maryland Health Services LLCBlount Memorial Physician Group Inc
Practice addresses (Care Compare)
12502 Willowbrook Rd
Suite 400
Cumberland, MD 21502-6567
Phone (240) 964-8913
350 BMH Physicians Office BLDG
Maryville, TN 37804-5819
Phone (865) 982-5044
Hospital & facility affiliations
- Western Maryland Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0037504 | MD | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients | |
| Blount Memorial Physician Group, Inc | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Nephrology | Current | Accepting new patients |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Nephrology | Current | Accepting new patients |
| Cookeville Regional Medical Group, Inc | Current | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Past | Accepting new patients | |
| Harriman Dialysis LLC | Past | Accepting new patients | |
| Capital Area Renal Associates, PC | Past | Accepting new patients |
Locations
12502 Willowbrook Rd
Ste 400
Cumberland, MD 21502
Phone (240) 964-8740
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288
100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901
140 W 7th St
Cookeville, TN 38501
Phone (931) 783-5582
145 W 4th St
Ste 201
Cookeville, TN 38501
Phone (931) 372-7716
350 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 982-5044
323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612
16000 Johnston Memorial Dr
#312C
Abingdon, VA 24211
Phone (276) 258-1985
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/GFBCCA
- mbishop872752@direct.ghs.myhfn.org
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1447976584
MD
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
VA
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
TN
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Nephrology
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
-
- Pediatric Gastroenterology Physician
- Cumberland, MD
- NPI 1326763954
-
- Internal Medicine Physician
- Abingdon, VA
- NPI 1184003873
Nephrology
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Washington, MD
- NPI 1396148540
-
- Psychiatry Physician
- Cumberland, MD
- NPI 1285779884
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
Hospital
-
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1609929801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9808 LOG HOUSE CT",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208822704",
"telephone_number": "301-540-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 METROPOLITAN CT STE 1",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208784016",
"telephone_number": "240-773-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "MARY ANN",
"middle_name": "LANGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MD",
"license": "D0037504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.