Avery Alatis, MD
Individual provider Active NPI Emergency Medicine Physician · Leonardtown, MD
NPI 1992201438 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1992201438
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- D0091317 (MD)
- Practice address
- 25500 Point Lookout Rd
Department of Emergency Medicine
Leonardtown, MD 20650-2015 - Phone
- (202) 877-8080
- NPI assigned
- Apr 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210622000001 | MD | Practitioner - Emergency Medicine | 2466852959 | Reassigns benefits to 2 organizations |
| I20210622000005 | DC | Practitioner - Emergency Medicine | 2466852959 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0091317 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHC Physician Group LLC | Current |
Accepting new patients | |
| WHC Emerg Phys | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| WHC Physician Group LLC | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0091317 | MD | Yes |
Addresses
Primary practice location
25500 Point Lookout Rd
Department of Emergency Medicine
Leonardtown, MD 20650-2015
Mailing address
25500 Point Lookout Rd
Department of Emergency Medicine
Leonardtown, MD 20650-2015
Other providers in Leonardtown, MD
- Advanced Pain Management Specialists, LLC
- Sena S Ahohe
- Dominic Aidoo
- Mohammad Al-Jundi
- Amani Alameer
- Riyaz Mohammed Ali
- Alissa S. Jones, PH.D., P.a.
- David Charles Allen
- Henry Todd Allen
- Alliance Anesthesia Associates, LLC
All providers in Leonardtown, MD · Emergency Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. 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.