NPIMap

Individual provider Active NPI

Patrick Amadeus Ryscavage, M.D.

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1902062755
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D72445 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-4613
Fax
(410) 328-1112
NPI assigned
Jul 31, 2008
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D72445 MD Primary
Pediatric Infectious Diseases Physician 2080P0208X D72445 MD

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-4613

Other identifiers 3

IdentifierTypeStateIssuer
550500300MedicaidMD
974690-01OtherMDCAREFIRST BC/BS
S062-0438OtherMDCAREFIRST BC/BS - REGIONAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000089 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 0941475461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Georgetown University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8369

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatrics Assoc PA CurrentSince Dec 8, 2017 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Sep 26, 2023 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Dec 8, 2017 Accepting new patients
University of Maryland Physicians, P.a. CurrentSince Aug 23, 2011 Accepting new patients
University of Maryland Physicians PA Infectious Disease Current Accepting new patients
University of Maryland Pediatric Associates, PA Current Accepting new patients
University of Maryland Physicians P.a. CurrentSince Aug 23, 2011 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. Infectious Disease Current Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Sep 26, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

120 Penn St
Baltimore, MD 21201
Phone (410) 328-8336

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887

800 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8301

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: pryscavage12769@direct.umm.edu

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1902062755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-4613",
            "fax_number": "410-328-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-4613",
            "fax_number": "410-328-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSCAVAGE",
        "first_name": "PATRICK",
        "middle_name": "AMADEUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D72445",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "MD",
            "license": "D72445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550500300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "974690-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS - REGIONAL",
            "identifier": "S062-0438",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.