Individual provider Active NPI

Ellen Rachel Goldmark, MD

  • Urology Physician
  • Rockville, MD
National Provider Identifier
1720247703
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0077827 Issued in MD
Practice address
9420 Key West Ave.
Suite 420
Rockville, MD 20850
Phone
(301) 258-1919
Fax
(301) 258-9180
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D0077827 MD Primary

Addresses

Primary practice location

9420 Key West Ave.
Suite 420
Rockville, MD 20850

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (410) 581-1600

Other practice location 1

19851 Observation Dr Ste 455
Germantown, MD 20876-4153
Phone (301) 933-9660

Other identifiers 1

IdentifierTypeStateIssuer
654503300MedicaidMD

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
I20140925000050 DC Practitioner - Urology 0143462192 Reassigns benefits to 1 organization
I20180521002584 MD Practitioner - Urology 0143462192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Maryland School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

19851 Observation Dr
Germantown, MD 20876-4139
Phone (301) 258-1919

3801 International Dr
Silver Spring, MD 20906-1550
Phone (301) 598-9171

7625 Maple Lawn Blvd
Suite 210
Fulton, MD 20759-2578
Phone (410) 760-4000

9420 Key W Ave
Suite 420
Rockville, MD 20850-6509
Phone (301) 258-1919

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0077827MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates LLC Urology CurrentSince Jun 1, 2017 Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince Jun 1, 2017 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients

Locations

7625 Maple Lawn Blvd
Ste 210
Fulton, MD 20759
Phone (301) 543-6908

808 W Diamond Ave
Gaithersburg, MD 20878
Phone (240) 364-0900

19851 Observation Dr
Ste 455
Germantown, MD 20876
Phone (301) 258-1919

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

Interoperability endpoints

  • Direct secure messaging: ellengoldmark@tsicua.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1720247703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "410-581-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE.",
            "address_2": "SUITE 420",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-258-1919",
            "fax_number": "301-258-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19851 Observation Dr Ste 455",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764153",
            "country_code": "US",
            "telephone_number": "301-933-9660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMARK",
        "first_name": "ELLEN",
        "middle_name": "RACHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0077827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654503300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.