Individual provider Active NPI

Marcus Samuel Mermelstein, PA-C

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1629463898
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007408 Issued in MD
Practice address
8901 Wisconsin Ave BLDG 9a FL 3, Surgical ICU
Bethesda, MD 20889-5367
Phone
(301) 400-0018
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0007408 MD Primary

Addresses

Primary practice location

8901 Wisconsin Ave BLDG 9a FL 3, Surgical ICU
Bethesda, MD 20889-5367

Mailing address

8901 Wisconsin Ave BLDG 9a FL 3, Surgical ICU
Bethesda, MD 20889-0001
Phone (301) 400-0018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310001607 DC Practitioner - Physician Assistant 8325345390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C0007408MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2026 Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1629463898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE BLDG 9A FL 3, SURGICAL ICU",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-400-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE BLDG 9A FL 3, SURGICAL ICU",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895367",
            "telephone_number": "301-400-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "MARCUS",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.