Active NPI
Michael Tatusov, M.D.
- Internal Medicine Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D83547
- Practice address
- 8600 Old Georgetown Rd
Bethesda, MD 20814-1422 - Phone
- (301) 896-3990
- NPI assigned
- Apr 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 050921 | CT | |
| Internal Medicine Physician | 207R00000X | 50921 | CT | |
| Hospitalist Physician | 208M00000X | 50921 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | D83547 | MD | Primary |
Addresses
Primary practice location
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-3190
Other practice location 1
110 Irving St NW
Department of Pulmonary Disease/Critical Care
Washington, DC 20010-3017
Phone (202) 877-7856
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
- Critical Care (Intensivists)
- Education
- Drexel University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254
5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100
Hospital & facility affiliations
- Suburban Hospital
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050921 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians, Inc | Internal Medicine | Current | Accepting new patients |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Internal Medicine | Current | Accepting new patients |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Suburban Hospital, Inc. | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
Interoperability endpoints
- mtatusov801905@direct.umm.edu
- mtatusov777920@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
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359972
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1720540925
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1811130347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-3190",
"fax_number": "202-877-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 OLD GEORGETOWN RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141422",
"telephone_number": "301-896-3990"
}
],
"practiceLocations": [
{
"address_1": "110 Irving St NW",
"address_2": "Department of Pulmonary Disease/Critical Care",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103017",
"country_code": "US",
"telephone_number": "202-877-7856",
"fax_number": "202-877-6130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATUSOV",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-14",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "050921",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "50921",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "50921",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D83547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.