Individual provider Active NPI

Mary Ann Lange Bishop, MD

  • Nephrology Physician
  • Gaithersburg, MD
National Provider Identifier
1609929801
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0037504 Issued in MD
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

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7113396011, 162 clinicians
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

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 Hospital, Cumberland, MD, CCN 210027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0037504MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Blount Memorial Physician Group, Inc CurrentSince Mar 15, 2026 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Sep 1, 2015 Accepting new patients
Blue Ridge Medical Management Corporation Nephrology CurrentSince Aug 24, 2020 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Sep 1, 2015 Accepting new patients
Upmc Western Maryland Health Services, LLC Nephrology CurrentSince Jan 1, 2023 Accepting new patients
Cookeville Regional Medical Group, Inc CurrentSince Mar 19, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 24, 2020 Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Harriman Dialysis LLC PastSince Dec 16, 2020 Accepting new patients
Capital Area Renal Associates, PC PastSince Dec 21, 2025 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFBCCA
  • Direct secure messaging: mbishop872752@direct.ghs.myhfn.org
  • FHIR API: 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.

View all 13

Hospital & facility affiliations 4

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

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

Verify at the official NPI Registry.