Active NPI
Mary Clare Zavada, D.P.M.
- Podiatrist
- Crofton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2016014657
- Practice address
- 1475 Jordan Ave
Crofton, MD 21114-2119 - Phone
- (443) 852-4453
- NPI assigned
- Jan 23, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2016014657 | MO | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006425 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01546 | MD |
Addresses
Primary practice location
1475 Jordan Ave
Crofton, MD 21114-2119
Mailing address
1475 Jordan Ave
Crofton, MD 21114-2119
Phone (443) 852-4453
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01725317 | Other | MO | RAILROAD MEDICARE |
| 1659619732 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14201 Park Ctr Dr
Laurel, MD 20707-5251
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.51 of 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 824 |
| Removal or shaving of skin growth | 91 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006425 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Hertz and Idol DPM, PA | Podiatrist | Current | Accepting new patients |
| Precision Orthopedics and Sports Medicine | Current | Accepting new patients | |
| Precision Orthopedics and Sports Medicine | Current | Accepting new patients | |
| Precision Orthopedics and Sports Medicine | Foot & Ankle Surgery | Current | Accepting new patients |
| Precision Orthopedics and Sports Medicine | Current | Accepting new patients | |
| Up Orthopedics LLC | Past | Accepting new patients |
Locations
3169 Braverton St
Edgewater, MD 21037
Phone (410) 956-1101
8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334
1430 Solomons Island Rd
Huntingtown, MD 20639
Phone (301) 884-6056
6700 Crain Hwy
Ste 101
La Plata, MD 20646
Phone (240) 685-2925
16 N La Plata Ct
La Plata, MD 20646
Phone (301) 392-3330
5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700
14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334
22335 Exploration Dr
Ste 1015
Lexington Park, MD 20653
Phone (301) 863-6601
12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333
Organizations & group practices 6
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Laurel, MD
- NPI 1962766899
DC
-
- Podiatrist
- Laplata, MD
- NPI 1538178603
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Gaithersburg, MD
- NPI 1073368361
-
- Foot & Ankle Surgery Podiatrist
- Annapolis, MD
- NPI 1285420836
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Cumberland, MD
- NPI 1336994722
-
- Orthopaedic Surgery Physician
- Laurel, MD
- NPI 1134672769
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1659619732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 JORDAN AVE",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142119",
"telephone_number": "443-852-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 JORDAN AVE",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142119",
"telephone_number": "443-852-4453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVADA",
"first_name": "MARY CLARE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "2016014657",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006425",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "01546",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01725317",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659619732",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.