Individual provider Active NPI

Dawn Marie Gretz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glen Burnie, MD
National Provider Identifier
1962585208
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01219 Issued in MD
Practice address
1405 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone
(410) 761-1666
Fax
(410) 768-5809
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01219 MD Primary

Addresses

Primary practice location

1405 Madison Park Dr
Glen Burnie, MD 21061-5613

Mailing address

1405 Madison Park Dr
Glen Burnie, MD 21061-5627
Phone (410) 761-1666

Other identifiers 1

IdentifierTypeStateIssuer
368778300MedicaidMD

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000535 MD Practitioner - Podiatry 0345206173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 761-1666

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

Merit-based Incentive Payment System (MIPS)

Final score
77.95 of 100Reported as individual
Quality
52
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue122
Removal of skin lesions1-10
Removal of nail tissue2523
Removal or shaving of skin growth1121
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn M Gretz D P M P a Current Accepting new patients
Dawn M. Gretz D P M P a Foot & Ankle Surgery CurrentSince Jul 1, 1999 Accepting new patients

Locations

4660 Wilkens Ave
Ste 100
Baltimore, MD 21229
Phone (410) 247-0782

1405 Madison Park Dr
Glen Burnie, MD 21061
Phone (410) 761-1666

1405 Madison Park Dr
Ste 1
Glen Burnie, MD 21061
Phone (410) 582-9434

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medstar Harbor HospitalBaltimore, MD, CCN 210034 Hospital Corporate Director Mar 18, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1962585208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615627",
            "telephone_number": "410-761-1666",
            "fax_number": "410-768-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MADISON PARK DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615613",
            "telephone_number": "410-761-1666",
            "fax_number": "410-768-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETZ",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368778300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.