Calla Zelazny, PA-C
Individual provider Active NPI Physician Assistant · Odenton, MD
NPI 1962887901 · NPPES record last updated Mar 27, 2018
Key facts
- NPI
- 1962887901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C05848 (MD)
- Practice address
- 1110 Annapolis Rd
Odenton, MD 21113-1602 - Phone
- (443) 351-3917
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Center for Vascular Medicine LLC
Practice addresses (Care Compare)
7300 Hanover Dr
Suite 104
Greenbelt, MD 20770-2250
Phone (301) 982-2000
Hospital & facility affiliations
- Tidalhealth Peninsula Regional, Inc
- University of MD Shore Medical Center at Easton
- Luminis Health Anne Arundel Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151001001727 | MD | Practitioner - Physician Assistant | 3971811514 | Reassigns benefits to 2 organizations |
| I20171109001717 | DC | Practitioner - Physician Assistant | 3971811514 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C05848 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First Maryland Medical Group PLLC | Current |
Accepting new patients | |
| Patient First Maryland Medical Group, PLLC | Current |
Accepting new patients | |
| Patient First Maryland Medical Group PLLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Center for Vascular Medicine NJ, LLC | Past | Accepting new patients |
Locations
1110 Annapolis Rd
Odenton, MD 21113
Phone (443) 351-3917
10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776
10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776
726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411
2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
Interoperability endpoints
- calla.barnett.p4@direct.cvm-usa.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C05848 | MD | Yes |
Addresses
Primary practice location
1110 Annapolis Rd
Odenton, MD 21113-1602
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700
Other practice location 1
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (570) 854-9231
Other providers in Odenton, MD
- Christine Wray
- Yemanti Nursing Services
- Aristide T Yessom
- Tyrik Julian Young
- Zamora Kids Dentistry, P.a.
- Yu Zhang
- Qun Zhou
- Ashley Marie Zinalabedini
- Zinner Mediation Services, LLC
- Roslyn Zinner
All providers in Odenton, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.