Individual provider Active NPI

Andres Eraso, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1710066832
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD038612 Issued in DC
Practice address
110 Irving St NW
Washington, DC 20010-3017
Phone
(202) 877-6495
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD038612 DC Primary
Vascular & Interventional Radiology Physician 2085R0204X MD038612 DC

Addresses

Primary practice location

110 Irving St NW
Washington, DC 20010-3017

Mailing address

4061 Powder Mill Rd
Suite 210
Beltsville, MD 20705-3149
Phone (202) 669-8501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20100707000380 DC Practitioner - Diagnostic Radiology 8527199520 Reassigns benefits to 3 organizations
I20110916000388 MD Practitioner - Interventional Radiology 8527199520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Physician Imaging of Washington Hospital Center LLCGroup PAC ID 6204910292, 102 clinicians
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (443) 625-5430

12158 Central Ave
Suite 100
Mitchellville, MD 20721-1932
Phone (301) 430-2750

13950 Brandywine Rd
Brandywine, MD 20613-5815
Phone (301) 782-2220

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

3305 N Leisure World Blvd
Silver Spring, MD 20906-1367
Phone (301) 598-1590

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 581-1200

5601 Loch Raven Blvd Russel
Ste2
Baltimore, MD 21239-2945
Phone (443) 444-5600

7501 Surratts Rd
Suite 105
Clinton, MD 20735-3362
Phone (301) 877-5588

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038612DCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince May 1, 2016 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Dec 1, 2018 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Jun 1, 2010 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Jun 1, 2010 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients

Locations

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

1133 21st St NW
Ste 801
Washington, DC 20036
Phone (202) 748-8830

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

4061 Powder Mill Rd
Ste 210
Calverton, MD 20705
Phone (202) 669-8501

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1710066832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 POWDER MILL RD",
            "address_2": "SUITE 210",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053149",
            "telephone_number": "202-669-8501",
            "fax_number": "240-846-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERASO",
        "first_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD038612",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "DC",
            "license": "MD038612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.