NPIMap

Individual provider Active NPI

Tracie L Ryberg, D.O.

  • Family Medicine Physician
  • Westminster, MD
National Provider Identifier
1730131269
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0061206 Issued in MD
Practice address
410 Malcolm Dr Ste C
Westminster, MD 21157
Phone
(410) 857-2300
NPI assigned
May 16, 2006
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0061206 MD Primary

Addresses

Primary practice location

410 Malcolm Dr Ste C
Westminster, MD 21157

Mailing address

9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-5412

Other practice location 1

688C Poole Rd
Westminster, MD 21157-6003
Phone (410) 857-8202

Other identifiers 1

IdentifierTypeStateIssuer
50078014OtherPACAPITAL BLUECROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040623000229 MD Practitioner - Family Practice 3779568720 Reassigns benefits to 2 organizations
I20160119000362 DC Practitioner - Family Practice 3779568720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

410 Malcolm Dr C
Westminster, MD 21157-6160
Phone (410) 857-2300

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0061206MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Jan 1, 2016 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Jan 1, 2016 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Jan 1, 2016 Accepting new patients
Hanover Health Corporation Family Medicine Past Accepting new patients
John W. Middleton, MD Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

410 Malcolm Dr
Ste C
Westminster, MD 21157
Phone (410) 502-2037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9750/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tryberg246220@direct.hopkinsmedicine.org

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

Hospital & facility affiliations 9

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1730131269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR # 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-5412",
            "fax_number": "410-933-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MALCOLM DR STE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-857-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688C Poole Rd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211576003",
            "country_code": "US",
            "telephone_number": "410-857-8202",
            "fax_number": "410-857-8205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYBERG",
        "first_name": "TRACIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0061206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS",
            "identifier": "50078014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.