Active NPI
Michael Bart Siegel, M.D.
- Otolaryngology Physician
- Rockville, MD
National Provider Identifier
1730142969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0041437
- Practice address
- 15204 Omega Dr Ste 310
Rockville, MD 20850-4816 - Phone
- (240) 361-9000
- Fax
- (240) 361-9001
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0041437 | MD | Primary |
Addresses
Primary practice location
15204 Omega Dr Ste 310
Rockville, MD 20850-4816
Mailing address
15204 Omega Dr Ste 310
Rockville, MD 20850-4816
Phone (240) 361-9000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4271330 | Other | MD | AETNA |
| MAMSI | Other | MD | 228407 |
| B0480001 | Other | DC | BCBS OF DC |
| 8789 | Other | MD | BCBS OF MD |
| 496957 | Other | MD | NCPPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Perelman School of Med at the University of Pennsylvania, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15204 Omega Dr
Suite 310
Rockville, MD 20850-4601
Phone (240) 361-9000
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.66 of 100
- Quality
- 51.2
- Promoting interoperability
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0041437 | MD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced ENT Care, LLC | Otolaryngology | Current | Accepting new patients |
| Restore PT & Wellness | Current | Accepting new patients | |
| Cumberland Valley ENT Consultants | Otolaryngology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409
15204 Omega Dr
Ste 310
Rockville, MD 20850
Phone (240) 361-9000
Interoperability endpoints
- michaelsiegel@sbentc.allscriptsdirect.net
Organizations & group practices 4
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.
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-
- Otolaryngology Physician
- Hagerstown, MD
- NPI 1649272824
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1730142969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15204 OMEGA DR STE 310",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504816",
"telephone_number": "240-361-9000",
"fax_number": "240-361-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15204 OMEGA DR STE 310",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504816",
"telephone_number": "240-361-9000",
"fax_number": "240-361-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "MICHAEL",
"middle_name": "BART",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0041437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4271330",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "228407",
"identifier": "MAMSI",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DC",
"identifier": "B0480001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD",
"identifier": "8789",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "496957",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.