Individual provider Active NPI

Marc Steven Rickford, M.D.

  • Surgery Physician
  • Washington, DC
National Provider Identifier
1851318885
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD33973 Issued in DC
Practice address
1160 Varnum St NE
Depaul BLDG-Suite 110
Washington, DC 20017-2104
Phone
(202) 448-4080
Fax
(202) 448-4082
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD33973 DC
Surgery Physician 208600000X MD33973 DC Primary

Addresses

Primary practice location

1160 Varnum St NE
Depaul BLDG-Suite 110
Washington, DC 20017-2104

Mailing address

1160 Varnum St NE
Depaul BLDG-Suite 110
Washington, DC 20017-2104
Phone (202) 448-4080

Other identifiers 1

IdentifierTypeStateIssuer
410085900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20041122001273 DC Practitioner - General Surgery 4880659523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Howard University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

251 National Harbor Blvd
FL 5
Oxon Hill, MD 20745-1052
Phone (301) 618-2273

2900 Mercy LN
Cheverly, MD 20785-1157
Phone (301) 618-2273

901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Mar 31, 2019 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Mar 31, 2019 Accepting new patients
Dimensions Healthcare Associates Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

14999 Health Center Dr
Ste 201
Bowie, MD 20716
Phone (301) 262-8188

14999 Health Center Dr
Ste 108
Bowie, MD 20716
Phone (301) 321-1124

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

251 National Harbor Blvd
Fl 5
Oxon Hill, MD 20745
Phone (301) 618-2273

Interoperability endpoints

  • Direct secure messaging: mrickford801813@direct.umm.edu

Organizations & group practices 5

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 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1851318885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "DEPAUL BLDG-SUITE 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-448-4080",
            "fax_number": "202-448-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "DEPAUL BLDG-SUITE 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-448-4080",
            "fax_number": "202-448-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKFORD",
        "first_name": "MARC",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD33973",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD33973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410085900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.