MARYAM BOUMEZRAG MD
NPI 1982164042
Radiology - Vascular & Interventional Radiology in Clinton, MD

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment
7503 SURRATTS RD, CLINTON, MD 20735(301) 868-8000 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Mar 23, 2019 (2 updates tracked since 2019).

About Maryam Boumezrag Md NPPES

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

MARYAM BOUMEZRAG MD (NPI 1982164042) is an individual vascular & interventional radiology provider in Clinton, Maryland, licensed in Maryland (D0103953) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1982164042
Entity TypeIndividualFemale
Primary Taxonomy2085R0204X
Provider Legal NameMARYAM BOUMEZRAGCredential: MD
Location Address7503 SURRATTS RDClinton, MD 20735-3358
Mailing Address3800 Reservoir Rd NwWashington, DC 20007-2113 · (202) 444-5022 · Fax (202) 444-7987
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 23, 2019
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1982164042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in MD · D0103953
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
7503 SURRATTS RD, Clinton, MD 20735

Secondary Practice Location 1

Location 13800 Reservoir Rd NWWashington, DC 20007-2113 · Phone (202) 444-5022 · Fax (202) 444-7987

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

Maryam Boumezrag 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.

PECOS PAC ID9638682339
PECOS Enrollment IDI20250626003411, I20250626003544
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

Pediatrics (Neonatal-Perinatal Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Speech-Language Pathologist
7503 SURRATTS RD
CLINTON, MD 20735
Pediatrics
7503 SURRATTS RD
CLINTON, MD 20735
Obstetrics & Gynecology
7503 SURRATTS RD
CLINTON, MD 20735
Physician Assistant
7503 SURRATTS RD, EMERGENCY DEPT, MEDSTAR SOUTHERN MARYLAND HOSPITAL
CLINTON, MD 20735
Nurse Anesthetist, Certified Registered
7503 SURRATTS RD
CLINTON, MD 20735
Nurse Practitioner (Critical Care Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Hospitalist
7503 SURRATTS RD
CLINTON, MD 20735

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 Maryam Boumezrag's NPI number?

The NPI number for Maryam Boumezrag is 1982164042. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Maryam Boumezrag located?

Maryam Boumezrag practices at 7503 Surratts Rd, Clinton, MD 20735. The listed phone number is (301) 868-8000.

What is Maryam Boumezrag's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Maryam Boumezrag enrolled in Medicare?

Yes. Maryam Boumezrag 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.

Is Maryam Boumezrag affiliated with any hospitals?

According to CMS data, Maryam Boumezrag is affiliated with Medstar Saint Mary's Hospital and Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Maryam Boumezrag was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.