ALEDADE 204 POTOMAC MSSP ENHANCED
Tyler Blanchard
ACO Primary Contact
202-803-7979
Location
Aledade Accountable Care 204, LLC
4550 Montgomery Ave, Ste 1050N
Bethesda, MD 20814
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ACO Participants
ACO Participants ACO Participant in Joint Venture ANNAPOLIS INTERNAL MEDICINE, LLC N CALAF, MD PC N CAPITAL PRIMARY CARE INC N CHIMAX MEDICAL CENTER LLC N DAHLIA REID MD LLC N DELAWARE FAMILY CARE ASSOCIATES N DIAA Y. MIKHAIL, M.D., P.A. N DR SYED M A RIAZ MD PA N DR. NI & ASSOCIATES,LLC N DRS BIONDO & SIM PA N EDWIN GAR-EL N FAMILY HEALTHCARE, P.C. N FAMILY MEDICAL WELLNESS CENTER LLC N FEIRTAG & RAMOS PA N FRANK & GRACE INC N JOSEPH ANGELO, MD LLC N KINGDOM MEDICINE ADMINISTRATIVE SERVICES INC N MANBIR TAKHAR, P.C. N MEDICINE & RHEUMATOLOGY ASSOCIATES N MERCY A OBAMOGIE MD MPH PC N MIAN FAMILY MEDICINE, LLC N MIKEL HOFMANN N MILFORD PRIMARY CARE ASSOCIATES LLC N NAKUL GOYAL, MD, PA N OLEG B. SHPAK, MD, PA N P J MEHTA MD PA N RAE HEALTHCARE LLC N SABA SIDDIQI MD PA N SOUTH RIVER INTERNAL MEDICINE, PA N SUYI PARK MD & ASSOCIATES PA N SYED F MAHMOOD M.D. P. A. N TARIQ MAHMOOD MD LLC N TRIIBE MEDICAL LLC N WESTMINSTER INTERNAL MEDICINE ASSOCIATION N -
ACO Governing Body
Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, If Applicable TITUS ABRAHAM ACO Medical Director/Board Member 12.5 ACO Participant Representative Annapolis Internal Medicine, LLC TYLER BLANCHARD Chair/Board Member 12.5 Other N/A YVETTE DEBOER STEVENS Board Member 12.5 ACO Participant Representative Annapolis Internal Medicine, LLC NAKUL GOYAL Board Member 12.5 ACO Participant Representative Nakul Goyal, MD, PA SYED MAHMOOD Board Member 12.5 ACO Participant Representative Syed F Mahmood M.D. P. A. CINDY SIU Board Member 12.5 ACO Participant Representative Milford Primary Care Associates LLC INDER TAKHAR Board Member 12.5 ACO Participant Representative Manbir Takhar, P.C. JOHN WOLFE Medicare Bene Representative/Board Member 12.5 Medicare Beneficiary Representative N/A Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent. -
Key Clinical and Administrative Leadership
- Executive Director: Tyler Blanchard
- Medical Director: Titus Abraham
- Compliance Officer: Margaret Martuszewski
- Quality Assurance / Improvement Officer: Joshua Israel
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ACO Committees and Committee Leaderships
Committee Name Committee Leader Name and Position Compliance Committee Jillyan Bacallao / Compliance Committee -
Composition of ACO
Networks of individual practices of ACO professionals
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Amount of Shared Savings/Losses
First Agreement Period
- N/A
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How Shared Savings are Distributed
First Agreement Period
- N/A
2023 CMS WEB
INTERFACE
QUALITY
PERFORMANCE
RESULTS
Our ACO did not participate in the Shared Savings Program in Performance Year 2023; therefore, this section is not applicable at this time.
FRAUD AND ABUSE
WAIVERS
ACO Pre-Participation Waiver: N/A
ACO Participation Waiver: N/A
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