Individual provider Active NPI

Mark Theodore Birns, M.D.

  • Gastroenterology Physician
  • Rockville, MD
National Provider Identifier
1982692828
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0024994 Issued in MD
Practice address
9711 Medical Center Dr
Suite 308
Rockville, MD 20850-3323
Phone
(301) 251-0015
Fax
(301) 340-9360
NPI assigned
Oct 13, 2005
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0024994 MD Primary

Addresses

Primary practice location

9711 Medical Center Dr
Suite 308
Rockville, MD 20850-3323

Mailing address

9711 Medical Center Dr
Suite 308
Rockville, MD 20850-3323
Phone (301) 251-1244

Other identifiers 1

IdentifierTypeStateIssuer
322021400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051230000395 DC Practitioner - Gastroenterology 5395767511 Reassigns benefits to 1 organization
I20081003000534 MD Practitioner - Gastroenterology 5395767511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0024994MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Capital Digestive Care LLC Gastroenterology CurrentSince Sep 1, 2008 Accepting new patients
Capital Digestive Care, LLC Gastroenterology CurrentSince Sep 1, 2008 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
David a. Morowitz Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Urbana Gi Endoscopy Center, LLC PastSince Jun 15, 2007 Accepting new patients

Locations

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

4801 Dorsey Hall Dr
Ste 120
Ellicott City, MD 21042
Phone (410) 730-9363

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

56 Thomas Johnson Dr
Ste 110
Frederick, MD 21702
Phone (301) 251-1244

3280 Urbana Pike
Ste 101
Ijamsville, MD 21754
Phone (301) 810-5252

3280 Urbana Pike
Ste 104
Ijamsville, MD 21754
Phone (240) 436-6440

15005 Shady Grove Rd
Ste 200
Rockville, MD 20850
Phone (301) 340-8099

9711 Medical Center Dr
Ste 308
Rockville, MD 20850
Phone (301) 251-0015

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

Interoperability endpoints

  • Direct secure messaging: mark.birns.capitaldigestivecare@directaddress.net

Organizations & group practices 9

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1982692828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 MEDICAL CENTER DR",
            "address_2": "SUITE 308",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503323",
            "telephone_number": "301-251-1244",
            "fax_number": "301-340-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 MEDICAL CENTER DR",
            "address_2": "SUITE 308",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503323",
            "telephone_number": "301-251-0015",
            "fax_number": "301-340-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNS",
        "first_name": "MARK",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0024994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322021400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.