Individual provider Active NPI

Suzanne M Caccamese, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1922054105
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D56156 Issued in MD
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
517300100MedicaidMD
S1380080OtherMDCAREFIRST REGIONAL
KJ15GB/606329-04OtherMDCAREFIRST 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000438 MD Practitioner - Internal Medicine 5890769038 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D56156MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocket Doctor Practice Group, P.C. Internal Medicine CurrentSince Dec 11, 2025 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.

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

Verify at the official NPI Registry.