Individual provider Active NPI

Nicholas E Anastasio, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Easton, MD
National Provider Identifier
1689060691
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0087014 Issued in MD
Practice address
510 Idlewild Ave Ste 200
Easton, MD 21601-3883
Phone
(410) 820-8226
Fax
(410) 820-8405
NPI assigned
Apr 7, 2015
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0087014 MD Primary

Addresses

Primary practice location

510 Idlewild Ave Ste 200
Easton, MD 21601-3883

Mailing address

510 Idlewild Ave Ste 200
Easton, MD 21601-3883
Phone (410) 820-8226

Other practice location 1

345 Saint Paul St
Bunting Building, 7th Floor
Baltimore, MD 21202-2123
Phone (410) 332-9694

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
I20190711000001 MD Practitioner - Physical Medicine and Rehabilitation 9830424076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Maryland School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as group
Quality
56.5
Promoting interoperability
100
Improvement activities
40
Cost
73.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0087014MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopedics, Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2019 Accepting new patients
St Paul Place Specialists Inc CurrentSince Jun 16, 2022 Accepting new patients
Shore Orthopedics, Inc. Physical Medicine & Rehabilitation CurrentSince Aug 1, 2019 Accepting new patients
St Paul Place Specialists, Inc. CurrentSince Jun 16, 2022 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

345 Saint Paul St
Bldg 7TH
Baltimore, MD 21202
Phone (301) 405-1000

5450 Knoll North Dr
Columbia, MD 21045
Phone (410) 964-5300

510 Idlewild Ave
Ste 200
Easton, MD 21601
Phone (410) 820-8226

3290 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 801-2273

7927 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 661-3338

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

125 Shoreway Dr
Ste 270
Queenstown, MD 21658
Phone (410) 820-8226

114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

Interoperability endpoints

  • Direct secure messaging: nanastasio92604@direct.mdmercy.com
  • Direct secure messaging: nicholasanastasio@toc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1689060691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE STE 200",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013883",
            "telephone_number": "410-820-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE STE 200",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013883",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Saint Paul St",
            "address_2": "Bunting Building, 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022123",
            "country_code": "US",
            "telephone_number": "410-332-9694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANASTASIO",
        "first_name": "NICHOLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0087014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.