MARGIE RADA BANZUELO-RIO
NPI 1255773248
Hospitalist in Baltimore, MD
About Margie Rada Banzuelo-rio NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARGIE RADA BANZUELO-RIO (NPI 1255773248) is an individual hospitalist provider in Baltimore, Maryland, licensed in Maryland (D75702) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Margie Rada Banzuelo-rio 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.
Medicare Billing Reassignments
3Medicare enrollment records show Margie Banzuelo-rio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21239
- Reassigned Medicare billing, Maryland enrollment
- 2,602 clinicians in this Medicare group
Towson, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- 501 clinicians in this Medicare group
Randallstown, MD 21133
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
- Also billed through NPI 1831940881 (District of Columbia)
- 729 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDMedstar Franklin Square Medical Center
Acute Care Hospitals · Rosedale, MDMedstar Harbor Hospital
Acute Care Hospitals · Baltimore, MDMedstar Good Samaritan Hospital
Acute Care Hospitals · Baltimore, MDUniversity Of MD St Joseph Medical Center
Acute Care Hospitals · Towson, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BALTIMORE, MD 21239
BALTIMORE, MD 21239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Margie Banzuelo-rio's NPI number?
The NPI number for Margie Banzuelo-rio is 1255773248. It was assigned to this individual provider in the NPPES registry on July 19, 2013.
Where is Margie Banzuelo-rio located?
Margie Banzuelo-rio practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (443) 444-3904.
What is Margie Banzuelo-rio's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Margie Banzuelo-rio enrolled in Medicare?
Yes. Margie Banzuelo-rio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Margie Banzuelo-rio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Margie Banzuelo-rio reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Baltimore, MD), University Of Maryland St. Joseph Medical Group, LLC (Towson, MD) and Emergency Medicine Associates PA PC (Randallstown, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Margie Banzuelo-rio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Margie Banzuelo-rio affiliated with any hospitals?
According to CMS data, Margie Banzuelo-rio is affiliated with Johns Hopkins Hospital, The, Medstar Franklin Square Medical Center, Medstar Harbor Hospital, Medstar Good Samaritan Hospital and University Of MD St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Margie Banzuelo-rio was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Margie Rada Banzuelo-Rio · NPI 1255773248
Hospitalist physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since July 19, 2013.
## Identity
- **NPI:** 1255773248 (Entity type: Individual)
- **Enumerated:** July 19, 2013
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** D75702 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 5601 LOCH RAVEN BLVD, Baltimore, MD 21239-2945
- **Phone:** (443) 444-3904
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD); University Of Maryland St. Joseph Medical Group, LLC (NPI 1053816074, Towson, MD); Emergency Medicine Associates PA PC (NPI 1043175375, Randallstown, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 19, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1255773248) · Data from the CMS NPPES public registry.