Individual provider Active NPI

Stephan Robert Izzi, MD

  • Family Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1629079173
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0025782 Issued in MD
Practice address
7575 Ritchie Hwy
Glen Burnie, MD 21061-8951
Phone
(410) 766-1444
Fax
(410) 766-9453
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0025782 MD Primary

Addresses

Primary practice location

7575 Ritchie Hwy
Glen Burnie, MD 21061-8951

Mailing address

7575 Ritchie Hwy
Glen Burnie, MD 21061-8951
Phone (410) 766-1444

Other identifiers 1

IdentifierTypeStateIssuer
41551201OtherMDBSMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000016 MD Practitioner - Family Practice 2567505811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Medical Group IncGroup PAC ID 1658414909, 4 clinicians

Practice addresses (Care Compare)

7575 Ritchie Hwy
Glen Burnie, MD 21061-3716
Phone (410) 766-1444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100Reported as individual
Quality
67.38
Improvement activities
40
Cost
65.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0025782MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Medical Group Inc Family Medicine CurrentSince Nov 1, 1993 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7575 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 766-1444

Interoperability endpoints

  • Direct secure messaging: stephan.izzi.1@26741.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629079173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210618951",
            "telephone_number": "410-766-1444",
            "fax_number": "410-766-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 RITCHIE HWY",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210618951",
            "telephone_number": "410-766-1444",
            "fax_number": "410-766-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZI",
        "first_name": "STEPHAN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0025782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "41551201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.