Active NPI
Suzanne M Caccamese, M.D.
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D56156
- Practice address
- 6565 N Charles St
Ste 203
Baltimore, MD 21204-6800 - Phone
- (443) 849-3760
- NPI assigned
- May 26, 2006
- Last updated
- Sep 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D56156 | MD | Primary |
Addresses
Primary practice location
6565 N Charles St
Ste 203
Baltimore, MD 21204-6800
Mailing address
PO Box 418953
Boston, MA 02241-8953
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 517300100 | Medicaid | MD | |
| S1380080 | Other | MD | CAREFIRST REGIONAL |
| KJ15GB/606329-04 | Other | MD | CAREFIRST MARYLAND |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D56156 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocket Doctor Practice Group, P.C. | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Comptroller of Maryland Center Payroll Bureau | Past | Accepting new patients |
Locations
2219 Main St
Santa Monica, CA 90405
Phone (310) 800-1630
2405 York Rd
Ste 201
Timonium, MD 21093
Phone (240) 332-4048
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Newport Beach, CA
- NPI 1194403642
Internal Medicine, MD
-
dba University of Maryland St. Joseph Medical Group
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
dba Towson University Health Center
- Student Health Clinic/Center
- Towson, MD
- NPI 1841210390
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1922054105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 418953",
"city": "BOSTON",
"state": "MA",
"postal_code": "022418953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 N CHARLES ST",
"address_2": "STE 203",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046800",
"telephone_number": "443-849-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACCAMESE",
"first_name": "SUZANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D56156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "517300100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL",
"identifier": "S1380080",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "KJ15GB/606329-04",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.