Individual provider Active NPI

Mara Vucich, DO

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
National Provider Identifier
1730173717
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
H00586721 Issued in MD
Practice address
301 St Paul Place
Baltimore, MD 21202-4600
Phone
(410) 539-3434
Fax
(410) 539-3550
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X H00586721 MD Primary

Addresses

Primary practice location

301 St Paul Place
Baltimore, MD 21202-4600

Mailing address

301 St Paul Place
Baltimore, MD 21202-4600
Phone (410) 539-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050426001453 MD Practitioner - Physical Medicine and Rehabilitation 6608815907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Spine Center CharteredGroup PAC ID 0446142673, 6 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

114 Business Ctr Dr
Reisterstown, MD 21136-1229
Phone (410) 539-3434

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

301 Saint Paul St
Baltimore, MD 21202-2102

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 539-3434

Hospital & facility affiliations

  • Stella Maris, Inc. Home health agency, Timonium, MD, CCN 217072
  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

Merit-based Incentive Payment System (MIPS)

Final score
61.7 of 100Reported as individual
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
72.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H00586721MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Spine Center Chartered CurrentSince Sep 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338

Interoperability endpoints

  • Direct secure messaging: mvucich6529@direct.mdmercy.com

Organizations & group practices 3

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730173717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ST PAUL PLACE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024600",
            "telephone_number": "410-539-3434",
            "fax_number": "410-539-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ST PAUL PLACE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024600",
            "telephone_number": "410-539-3434",
            "fax_number": "410-539-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUCICH",
        "first_name": "MARA",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H00586721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.