Individual provider Active NPI

Michael J. Cirivello, M.D.

  • Neurological Surgery Physician
  • Bethesda, MD
National Provider Identifier
1942405725
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101244400 Issued in VA
Practice address
8901 Rockville Pike
Bethesda, MD 20889-0001
Phone
(301) 295-4420
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0101244400 VA Primary

Addresses

Primary practice location

8901 Rockville Pike
Bethesda, MD 20889-0001

Mailing address

8901 Rockville Pike
Walter Reed Neurosurgery Dept.
Bethesda, MD 20899
Phone (301) 295-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140910002718 VA Practitioner - Neurosurgery 8426280892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians

Practice addresses (Care Compare)

1101 Sam Perry Blvd
Fredericksburg, VA 22401-4466
Phone (540) 741-2871

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Providers LLC Neurological Surgery CurrentSince Apr 21, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 1, 2014 Accepting new patients
Mary Washington Healthcare Physicians Neurological Surgery CurrentSince Jul 1, 2014 Accepting new patients

Locations

1101 Sam Perry Blvd
Ste 400
Fredericksburg, VA 22401
Phone (540) 741-2865

1101 Sam Perry Blvd
Ste 314
Fredericksburg, VA 22401
Phone (540) 374-3200

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: mcirivello59441@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 3

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 3

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1942405725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE",
            "address_2": "WALTER REED NEUROSURGERY DEPT.",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20899",
            "telephone_number": "301-295-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 ROCKVILLE PIKE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRIVELLO",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101244400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.