Individual provider Active NPI

Mary Bernadette Martello, M.D.

  • Internal Medicine Physician
  • Whiteford, MD
National Provider Identifier
1669465076
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0056091 Issued in MD
Practice address
2623 Whiteford Rd
Whiteford, MD 21160-1103
Phone
(410) 452-5515
Fax
(410) 452-8030
NPI assigned
Aug 31, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
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
Internal Medicine Physician 207R00000X D0056091 MD Primary

Addresses

Primary practice location

2623 Whiteford Rd
Whiteford, MD 21160-1103

Mailing address

2623 Whiteford Rd
Whiteford, MD 21160-1103
Phone (410) 452-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040621000790 MD Practitioner - Internal Medicine 4385629765 Reassigns benefits to 2 organizations
I20180109001462 DC Practitioner - Internal Medicine 4385629765 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Apr 14, 2012 Accepting new patients
Upper Chesapeake Primary Care,LLC Internal Medicine CurrentSince Mar 25, 2021 Accepting new patients
MNR Industries LLC CurrentSince Nov 6, 2017 Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince Nov 17, 2024 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Comptroller of Maryland Central Payroll Bureau Current Accepting new patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Nov 17, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

520 Upper Chesapeake Dr
Ste 308
Bel Air, MD 21014
Phone (443) 643-4300

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

6655 Sykesville Rd
Sykesville, MD 21784
Phone (410) 970-7000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669465076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 WHITEFORD RD",
            "city": "WHITEFORD",
            "state": "MD",
            "postal_code": "211601103",
            "telephone_number": "410-452-5515",
            "fax_number": "410-452-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 WHITEFORD RD",
            "city": "WHITEFORD",
            "state": "MD",
            "postal_code": "211601103",
            "telephone_number": "410-452-5515",
            "fax_number": "410-452-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELLO",
        "first_name": "MARY",
        "middle_name": "BERNADETTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0056091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteford, MD

Sources for this page

Verify at the official NPI Registry.