Individual provider Active NPI

Nizamuddin Jainuddin Maruf, MD

  • Urology Physician
  • Bethesda, MD
National Provider Identifier
1841209822
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0047192 Issued in MD
Practice address
6410 Rockledge Dr
Ste 503
Bethesda, MD 20817
Phone
(301) 530-1700
Fax
(301) 530-0418
NPI assigned
Aug 7, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD30503 DC
Urology Physician 208800000X D0047192 MD Primary

Addresses

Primary practice location

6410 Rockledge Dr
Ste 503
Bethesda, MD 20817

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (443) 738-2872

Other identifiers 1

IdentifierTypeStateIssuer
463500100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101109000246 DC Practitioner - Urology 5597844423 Reassigns benefits to 1 organization
I20230306000001 MD Practitioner - Urology 5597844423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 130
Columbia, MD 21044-3258
Phone (410) 772-7000

19851 Observation Dr
Germantown, MD 20876-4139
Phone (301) 258-1919

3801 International Dr
Silver Spring, MD 20906-1550
Phone (301) 598-9171

6410 Rockledge Dr
Suite 503
Bethesda, MD 20817-7822
Phone (301) 530-1700

9420 Key W Ave
Suite 420
Rockville, MD 20850-6509
Phone (301) 258-1919

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30503DCMDUrology Physician
D0047192MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates LLC Urology CurrentSince Jun 1, 2017 Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince Jun 1, 2017 Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3407 Wilkens Ave
Ste 200
Baltimore, MD 21229
Phone (410) 644-0929

6410 Rockledge Dr
Ste 503
Bethesda, MD 20817
Phone (301) 530-1700

10710 Charter Dr
Ste 130
Columbia, MD 21044
Phone (301) 725-8880

19851 Observation Dr
Ste 445
Germantown, MD 20876
Phone (301) 258-1919

19851 Observation Dr
Ste 455
Germantown, MD 20876
Phone (301) 258-1919

20528 Boland Farm Rd
Ste 202
Germantown, MD 20876
Phone (301) 232-9000

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

12435 Park Potomac Ave
Ste 400
Potomac, MD 20854

1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

Interoperability endpoints

  • Direct secure messaging: nizamuddinmaruf@tsicua.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1841209822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "443-738-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "STE 503",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20817",
            "telephone_number": "301-530-1700",
            "fax_number": "301-530-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUF",
        "first_name": "NIZAMUDDIN",
        "middle_name": "JAINUDDIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DC",
            "license": "MD30503",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0047192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463500100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.