DR. MARY ROSE ANNE MANIBOG MD
NPI 1255892725
Family Medicine in Greenbelt, MD
About Dr. Mary Rose Anne Manibog Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY ROSE ANNE MANIBOG MD (NPI 1255892725) is an individual family medicine provider in Greenbelt, Maryland, licensed in Maryland (D0094630) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2019).
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
Dr. Mary Rose Anne Manibog Md 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 Reassignment
Medicare enrollment records show Mary Rose Anne Manibog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camp Springs, MD 20746
- Reassigned Medicare billing, District of Columbia enrollment
- 22 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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20770 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENBELT, MD 20770
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 Mary Rose Anne Manibog's NPI number?
The NPI number for Mary Rose Anne Manibog is 1255892725. It was assigned to this individual provider in the NPPES registry on March 27, 2019.
Where is Mary Rose Anne Manibog located?
Mary Rose Anne Manibog practices at 7500 Greenway Center Dr Ste 1200, Greenbelt, MD 20770. The listed phone number is (301) 486-7680.
What is Mary Rose Anne Manibog's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mary Rose Anne Manibog enrolled in Medicare?
Yes. Mary Rose Anne Manibog 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 organization bills Medicare for Mary Rose Anne Manibog's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Rose Anne Manibog reassigns Medicare benefits to Southern Maryland Medical Group LLC (Camp Springs, MD). The 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 Mary Rose Anne Manibog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Rose Anne Manibog was last updated on September 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Mary Rose Anne Manibog, MD · NPI 1255892725
Family Medicine physician in Greenbelt, Maryland. Individual provider, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1255892725 (Entity type: Individual)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** D0094630 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7500 GREENWAY CENTER DR STE 1200, Greenbelt, MD 20770-3556
- **Phone:** (301) 486-7680
## 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:** Southern Maryland Medical Group LLC (NPI 1942448113, Camp Springs, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255892725) · Data from the CMS NPPES public registry.