Active NPI
Robert Leroy Gattuso, M.D.
- Family Medicine Physician
- Parkton, MD
National Provider Identifier
1679637979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0034622
- Practice address
- 106 Mount Carmel Rd
Parkton, MD 21120-9723 - Phone
- (410) 357-4500
- Fax
- (410) 357-4570
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 70600 | FL | |
| Surgery Physician | 208600000X | D0034622 | MD | |
| Family Medicine Physician | 207Q00000X | D0034622 | MD | Primary |
Addresses
Primary practice location
106 Mount Carmel Rd
Parkton, MD 21120-9723
Mailing address
106 Mount Carmel Rd
Parkton, MD 21120-9723
Phone (410) 357-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561351500 | Medicaid | MD | |
| 3502 | Other | MD | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071227000228 | MD | Practitioner - Family Practice | 4880774173 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Agape Physical Therapy and Sports Rehabilitation LPRobert L Gattuso, M.D., P.a.
Practice addresses (Care Compare)
12 Newport Dr
Suite a
Forest Hill, MD 21050-1758
16950 York Rd
Monkton, MD 21111-1040
Phone (410) 357-4500
Hospital & facility affiliations
- Stella Maris, Inc.
- Amedisys Home Health
- The Johns Hopkins Home Health Services, Inc
- Wellspan York Hospital
- University of MD St Joseph Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 33 |
| Removal of tissue | 52 |
| Removal of skin lesions | 48 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 70600 | FL | MD | Family Medicine Physician |
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.
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rosedale, MD
- NPI 1548229834
-
- Home Health Agency
- Baltimore, MD
- NPI 1669551321
-
- Home Health Agency
- Timonium, MD
- NPI 1730295668
-
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1679637979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MOUNT CARMEL RD",
"city": "PARKTON",
"state": "MD",
"postal_code": "211209723",
"telephone_number": "410-357-4500",
"fax_number": "410-357-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MOUNT CARMEL RD",
"city": "PARKTON",
"state": "MD",
"postal_code": "211209723",
"telephone_number": "410-357-4500",
"fax_number": "410-357-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTUSO",
"first_name": "ROBERT",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 70600",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0034622",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0034622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "561351500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3502",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.