Active NPI
Edward Michael Zagula
- Specialist
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D32088
- Practice address
- 600 Ridgely Ave
Suite 130
Annapolis, MD 21401-1001 - Phone
- (410) 266-8049
- Fax
- (410) 266-8054
- NPI assigned
- Jun 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D32088 | MD | Primary |
Addresses
Primary practice location
600 Ridgely Ave
Suite 130
Annapolis, MD 21401-1001
Mailing address
600 Ridgely Ave
Suite 130
Annapolis, MD 21401-1001
Phone (410) 266-8049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465541900 | Medicaid | MD |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ezagula148686@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ezagula148686@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ezagula148686@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ezagula148686@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, WV
- 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
- Urology
- Education
- West Virginia University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
880 Memorial Dr Level
Oakland, MD 21550-5101
Phone (301) 334-1177
Hospital & facility affiliations
- Garrett Regional Medical Center
- West Virginia University Hospitals, Inc
- Potomac Valley Hospital
- Western Maryland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Valley Hospital of WV, Inc. | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Past | Accepting new patients |
Locations
880 Memorial Dr
Oakland, MD 21550
Phone (301) 334-4041
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000
255 N 4th St
Oakland, MD 21550
Phone (301) 723-6476
100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790
100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500
Interoperability endpoints
- ezagula148686@direct.wvuhsdirect.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.
-
- Obstetrics & Gynecology Physician
- Oakland, MD
- NPI 1265819866
-
- Emergency Medicine Physician
- Keyser, WV
- NPI 1316054919
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grantsville, MD
- NPI 1881361442
-
- Internal Medicine Physician
- Keyser, WV
- NPI 1578305256
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Rural Health Clinic/Center
- Keyser, WV
- NPI 1467090449
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, MD
- NPI 1598417412
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1811992258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE",
"address_2": "SUITE 130",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011001",
"telephone_number": "410-266-8049",
"fax_number": "410-266-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RIDGELY AVE",
"address_2": "SUITE 130",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011001",
"telephone_number": "410-266-8049",
"fax_number": "410-266-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAGULA",
"first_name": "EDWARD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D32088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465541900",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ezagula148686@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "255 N 4th St",
"city": "Oakland",
"state": "MD",
"country_code": "US",
"postal_code": "215501340",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ezagula148686@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "255 N 4th St",
"city": "Oakland",
"state": "MD",
"country_code": "US",
"postal_code": "215501340",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ezagula148686@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "255 N 4th St",
"city": "Oakland",
"state": "MD",
"country_code": "US",
"postal_code": "215501340",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ezagula148686@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "255 N 4th St",
"city": "Oakland",
"state": "MD",
"country_code": "US",
"postal_code": "215501340",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.