Mark Edward Richards, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D0039398 Issued in MD

Practice address

11300 Rockville Pike
Ste 912
N Bethesda, MD 20852-3034

Phone

(301) 468-3458

Fax

(301) 468-2076

NPI assigned

Jun 22, 2005

Reactivated

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 25, 2014 through Jul 25, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1760488019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE",
            "address_2": "STE 912",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523034",
            "telephone_number": "301-468-3458",
            "fax_number": "301-468-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROCKVILLE PIKE",
            "address_2": "STE 912",
            "city": "N BETHESDA",
            "state": "MD",
            "postal_code": "208523034",
            "telephone_number": "301-468-3458",
            "fax_number": "301-468-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-09-09",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0039398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Mood, CPNP
• Nicole Filipe Psychotherapy
• Joy Paul, LCSW-C
• Lauren Michelle Polovoy, CCC-SLP
• Ronald Prussick, M.D.
• Shira Lipsky Schwartz, M.D.
• Susan Margolis Stillman
• Successful Outsourcing Solutions LLC
• Allen J Taylor, M.D.
• Thrive and Grow Pediatric Endocrinology, LLC

• Plastic Surgery Physician in N Bethesda, MD
• Providers in N Bethesda, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.