Individual provider Active NPI

Mary Katherine Elfrey, DO

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1760645519
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H0078507 Issued in MD
Practice address
3407 Wilkens Ave Ste 300
Baltimore, MD 21229-5222
Phone
(410) 644-5111
Fax
(410) 644-2715
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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 H0078507 MD Primary

Addresses

Primary practice location

3407 Wilkens Ave Ste 300
Baltimore, MD 21229-5222

Mailing address

3407 Wilkens Ave Ste 300
Baltimore, MD 21229-5222
Phone (410) 644-5111

Other names 1

  • Mary Kate Plantholt Former name

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
I20141120002377 MD Practitioner - Cardiovascular Disease (Cardiology) 0042432387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2800

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011

Merit-based Incentive Payment System (MIPS)

Final score
79.13 of 100Reported as group
Quality
56.5
Promoting interoperability
100
Improvement activities
40
Cost
73.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0078507MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists Inc CurrentSince Nov 10, 2022 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
St Agnes Healthcare Inc Cardiovascular Disease CurrentSince Oct 20, 2014 Accepting new patients
St Paul Place Specialists, Inc. Cardiovascular Disease CurrentSince Nov 10, 2022 Accepting new patients
St Agnes Healthcare Inc CurrentSince Oct 20, 2014 Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

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

3407 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 644-5111

7927 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 494-9099

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

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

Interoperability endpoints

  • Direct secure messaging: melfrey93541@direct.mdmercy.com

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 4

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1760645519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295222",
            "telephone_number": "410-644-5111",
            "fax_number": "410-644-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295222",
            "telephone_number": "410-644-5111",
            "fax_number": "410-644-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFREY",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "H0078507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KATE",
            "last_name": "PLANTHOLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.