Individual provider Active NPI

Napoleon C Marcelo, M.D.

  • Gastroenterology Physician
  • Bowie, MD
National Provider Identifier
1700833365
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0031345 Issued in MD
Practice address
4000 Mitchellville Rd
Suite 430B
Bowie, MD 20716-3104
Phone
(301) 262-8602
Fax
(301) 805-7784
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0031345 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd
Suite 430B
Bowie, MD 20716-3104

Mailing address

4000 Mitchellville Rd
Suite 430B
Bowie, MD 20716-3104
Phone (301) 262-8602

Other identifiers 1

IdentifierTypeStateIssuer
436051600MedicaidMD

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
I20040305000427 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 4981591260 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0031345MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation Gastroenterology Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 15, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC Gastroenterology CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Oct 15, 2022 Accepting new patients
East Coast Gastroenterology LLC Gastroenterology PastSince May 1, 2008 Accepting new patients
Riverside Medical Associates PA Gastroenterology Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 640
Cumberland, MD 21502
Phone (240) 964-8717

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24726/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1700833365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 430B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-262-8602",
            "fax_number": "301-805-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 430B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-262-8602",
            "fax_number": "301-805-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELO",
        "first_name": "NAPOLEON",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0031345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436051600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.