Active NPI
Maureen C Fennell, M.D.
- Cardiovascular Disease Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0044928
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014 | Other | DC | BCBS OF DC GROUP NUMBER |
| 699545401 | Medicaid | MD | |
| H830 | Other | MD | BCBS OF MD GROUP NUMBER |
| 4787 | Other | DC | BCBS OF DC GROUP NUMBER |
| 61390003 | Other | MD | BCBS OF MD INDIVIDUAL NO# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Suburban Hospital
- Sibley Memorial Hospital
- Adventist Healthcare Shady Grove Medical Center
- Johns Hopkins Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.23 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0044928 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | 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
- 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.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359972
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1720540925
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
Cardiovascular Disease
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Cardiovascular Disease Physician
- Fairfax, VA
- NPI 1063419927
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.