Individual provider Active NPI

Maureen C Fennell, M.D.

  • Cardiovascular Disease Physician
  • Rockville, MD
National Provider Identifier
1750343075
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0044928 Issued in MD
Practice address
15005 Shady Grove Rd
Suite 340
Rockville, MD 20850-6340
Phone
(240) 238-3760
Fax
(240) 238-3765
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0044928 MD Primary

Addresses

Primary practice location

15005 Shady Grove Rd
Suite 340
Rockville, MD 20850-6340

Mailing address

15005 Shady Grove Rd
Suite 340
Rockville, MD 20850-6340
Phone (240) 238-3760

Other identifiers 5

IdentifierTypeStateIssuer
0014OtherDCBCBS OF DC GROUP NUMBER
699545401MedicaidMD
H830OtherMDBCBS OF MD GROUP NUMBER
4787OtherDCBCBS OF DC GROUP NUMBER
61390003OtherMDBCBS OF MD INDIVIDUAL NO#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20040210001008 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719871847 Reassigns benefits to 1 organization
I20211007000080 MD Practitioner - Cardiovascular Disease (Cardiology) 7719871847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

15005 Shady Grove Rd
Suite 340
Rockville, MD 20850-6375
Phone (240) 238-3760

4102 Wilson Blvd
Arlington, VA 22203-1802
Phone (703) 462-1777

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

6410 Rockledge Dr
Suite 200
Bethesda, MD 20817-1830
Phone (301) 897-5301

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0044928MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Aug 19, 2013 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Sep 1, 2021 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Aug 19, 2013 Accepting new patients
Adventist Healthcare, Inc. Cardiovascular Disease Past Accepting new patients
Northern Virginia Cardiology Associates, PC Cardiovascular Disease Past Accepting new patients
Adventist Physician Services, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

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

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

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

15005 Shady Grove Rd
Ste 340
Rockville, MD 20850
Phone (240) 238-3760

Interoperability endpoints

  • Direct secure messaging: mfennell134431@direct.hopkinsmedicine.org

Organizations & group practices 8

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 5

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1750343075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "SUITE 340",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "240-238-3760",
            "fax_number": "240-238-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "SUITE 340",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "240-238-3760",
            "fax_number": "240-238-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "MAUREEN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0044928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC GROUP NUMBER",
            "identifier": "0014",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699545401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD GROUP NUMBER",
            "identifier": "H830",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC GROUP NUMBER",
            "identifier": "4787",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD INDIVIDUAL NO#",
            "identifier": "61390003",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.