DR. MARITA N BROOME M.D.
NPI 1194793455
Emergency Medicine in Gaithersburg, MD

Q: What is Marita Broome's NPI number?

The NPI number for Marita Broome is 1194793455. It was assigned to this individual provider in the NPPES registry on March 10, 2006. The provider is also known as Marita Nickens.

Q: What is Marita Broome's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Marita Broome was last updated on June 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment

655 WATKINS MILL RD, KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER, GAITHERSBURG, MD 20879(240) 632-4000 Get Directions Write a Review

NPPES record last updated: June 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2021, Nov 10, 2016 (2 updates tracked since 2016).

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About Dr. Marita N Broome M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARITA N BROOME M.D. (NPI 1194793455) is an individual emergency medicine provider in Gaithersburg, Maryland, licensed in Maryland (D50332) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1993).

NPPES Registry Identity

NPI1194793455

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. MARITA N BROOMECredential: M.D.

Location Address655 WATKINS MILL RD, KAISER PERMANENTE GAITHERSBURG MEDICAL CENTERGaithersburg, MD 20879-3301

Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424

Phone(240) 632-4000

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 1993

Enumeration DateMarch 10, 2006

Last NPPES UpdateJune 26, 20212 updates tracked since enumeration

NPPES CertifiedJune 26, 2021

✔ NPI 1194793455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MD · D50332✔ Licensed in DC · MD19889

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

655 WATKINS MILL RD, Gaithersburg, MD 20879

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Other Names 1

Former Name (1)Marita Nickens

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marita N Broome M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991783540

PECOS Enrollment IDI20040709000991

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20879 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ESTHER SHINYOUNG SONG M.D.

Pediatrics