NPIMap

Individual provider Active NPI

Raymond Bass, M.D.

  • Nephrology Physician
  • Wheaton, MD
National Provider Identifier
1689672164
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0021340 Issued in MD
Practice address
3941 Ferrara Dr
Wheaton, MD 20906-4709
Phone
(301) 942-5355
NPI assigned
Jul 8, 2005
Last updated
Nov 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0021340 MD Primary

Addresses

Primary practice location

3941 Ferrara Dr
Wheaton, MD 20906-4709

Mailing address

3941 Ferrara Dr
Wheaton, MD 20906-4709
Phone (301) 942-5355

Other identifiers 1

IdentifierTypeStateIssuer
314731200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100324000122 DC Practitioner - NephrologyPractitioner - Internal Medicine 8820900509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Michigan Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Renal Associates P.a.Group PAC ID 0042345464, 5 clinicians

Practice addresses (Care Compare)

3941 Ferrara Dr
Silver Spring, MD 20906-4709
Phone (301) 942-5355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0021340MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Renal Associates P.a. CurrentSince Apr 30, 1982 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3941 Ferrara Dr
Silver Spring, MD 20906
Phone (301) 340-1510

Interoperability endpoints

  • Direct secure messaging: rbass42099@direct.davitaphysiciansolutions.com

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

Hospital & facility affiliations 12

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1689672164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 FERRARA DR",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-942-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 FERRARA DR",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-942-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0021340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314731200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

Verify at the official NPI Registry.