Active NPI
Dawn Marie Gretz, DPM
- Foot & Ankle Surgery Podiatrist
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01219
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 368778300 | Medicaid | MD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.95 of 100
- Quality
- 52
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 122 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2523 |
| Removal or shaving of skin growth | 1121 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawn M Gretz D P M P a | Current | Accepting new patients | |
| Dawn M. Gretz D P M P a | Foot & Ankle Surgery | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Medstar Harbor Hospital | 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.
-
- Foot & Ankle Surgery Podiatrist
- Glen Burnie, MD
- NPI 1568643906
Foot & Ankle Surgery, MD
-
- Customized Equipment (DME)
- Glen Burnie, MD
- NPI 1013168566
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.