Individual provider Active NPI

Michael Brancaccio, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Washington, DC
National Provider Identifier
1740262930
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD6145 Issued in DC
Practice address
1150 Varnum St NE
Pathology Department
Washington, DC 20017-2180
Phone
(202) 269-7242
NPI assigned
Nov 15, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D0019338 MD
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD6145 DC Primary

Addresses

Primary practice location

1150 Varnum St NE
Pathology Department
Washington, DC 20017-2180

Mailing address

PO Box 70688
Washington, DC 20024-0688
Phone (410) 872-9188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 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
I20070326000138 MD Practitioner - Pathology 7517978497 Reassigns benefits to 2 organizations
I20240705001680 VA Practitioner - Pathology 7517978497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
George Washington University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Fredericksburg, PCGroup PAC ID 0345343927, 12 clinicians
Harne,Song and Woo, M.D.,P.a.Group PAC ID 9133169006, 3 clinicians

Practice addresses (Care Compare)

1051 Care Way
Fredericksburg, VA 22401-8425
Phone (540) 374-3131

2007 Rock Spring Rd
Forest Hill, MD 21050-2620
Phone (410) 879-4879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD6145DCMDAnatomic Pathology & Clinical Pathology Physician
D0019338MDMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Fredericksburg, PC CurrentSince Jun 1, 2024 Accepting new patients
Bel Air Ambulatory Surgical Center ,L.L.C. Current Accepting new patients
Urological Center P a CurrentSince Oct 1, 2008 Accepting new patients
Harne,Song and Woo, M.D.,P.a. CurrentSince Mar 1, 2009 Accepting new patients
Anne Arundel Urology, PA PastSince Jan 21, 2024 Accepting new patients
Diagnosti Pathology Services, Inc Past Accepting new patients

Locations

2007 Rock Spring Rd
Forest Hill, MD 21050
Phone (410) 838-7232

11110 Medical Campus Rd
Ste 228
Hagerstown, MD 21742
Phone (301) 733-0022

1051 Care Way
Fredericksburg, VA 22401
Phone (540) 374-3131

4710 Spotsylvania Pkwy
Ste 204
Fredericksburg, VA 22407
Phone (540) 374-3131

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc05441_uaoffredericksburg

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740262930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70688",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200240688",
            "telephone_number": "410-872-9188",
            "fax_number": "410-872-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172180",
            "telephone_number": "202-269-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCACCIO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0019338",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "DC",
            "license": "MD6145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.