Individual provider Active NPI

Sylvia Bongers Batong, M.D.

  • Family Medicine Physician
  • Prince Frederick, MD
National Provider Identifier
1891765939
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D43306 Issued in MD
Practice address
110 Hospital Rd Ste 111
Prince Frederick, MD 20678-4039
Phone
(410) 535-4488
Fax
(443) 771-8114
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D43306 MD Primary

Addresses

Primary practice location

110 Hospital Rd Ste 111
Prince Frederick, MD 20678-4039

Mailing address

110 Hospital Rd Ste 111
Prince Frederick, MD 20678-4039
Phone (410) 535-4488

Other identifiers 5

IdentifierTypeStateIssuer
2178716OtherAETNA
291569OtherMAMSI
183641200MedicaidMD
T5080002OtherCAREFIRST-FEDERAL
KS56OtherMDCAREFIRST-MARYLAND

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sylvia.batongmd.p1@direct.calverthealth.nextgenshare.com Health Information Exchange (HIE) CalvertHealth Medical Group, LLC

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
I20040520001139 MD Practitioner - Family Practice 1456342294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Hospital Rd
Prince Frederick, MD 20678-4016

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
74.54
Promoting interoperability
99
Improvement activities
40
Cost
81.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D43306MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC Family Medicine Current Accepting new patients
Calverthealth Medical Group, LLC CurrentSince Nov 30, 2015 Accepting new patients
Calverthealth Medical Group, LLC Family Medicine CurrentSince Nov 30, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Joseph S. Fastow, M.D., P.a. Past Accepting new patients

Locations

29449 Charlotte Hall Rd
Charlotte Hall, MD 20622
Phone (301) 772-0484

11845 Hg Trueman Rd
Lusby, MD 20657
Phone (410) 326-6344

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

110 Hospital Rd
Ste 111
Prnc Frederck, MD 20678
Phone (410) 535-4488

Interoperability endpoints

  • Direct secure messaging: sylvia.batong@directcalverthospital.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1891765939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784039",
            "telephone_number": "410-535-4488",
            "fax_number": "443-771-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 111",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784039",
            "telephone_number": "410-535-4488",
            "fax_number": "443-771-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATONG",
        "first_name": "SYLVIA",
        "middle_name": "BONGERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D43306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2178716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "291569",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183641200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-FEDERAL",
            "identifier": "T5080002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-MARYLAND",
            "identifier": "KS56",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sylvia.batongmd.p1@direct.calverthealth.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging address to send CCDAs",
            "affiliationName": "CalvertHealth Medical Group, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDAs",
            "address_1": "110 Hospital Rd",
            "address_2": "Suite 111",
            "city": "Prince Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206784039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.