Individual provider Active NPI

Michael Bart Siegel, M.D.

  • Otolaryngology Physician
  • Rockville, MD
National Provider Identifier
1730142969
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0041437 Issued in MD
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

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4271330OtherMDAETNA
MAMSIOtherMD228407
B0480001OtherDCBCBS OF DC
8789OtherMDBCBS OF MD
496957OtherMDNCPPO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000836 DC Practitioner - Otolaryngology 9335193044 Reassigns benefits to 1 organization

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
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

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 100Reported as individual
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

LicenseStateTypeSpecialty
D0041437MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Otolaryngology CurrentSince Oct 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.