Organization Active NPI

Adam M. Mecinski M.D. LLC

  • Specialist
  • Frederick, MD
National Provider Identifier
1003062449
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0057777 Issued in MD
Legal business name
ADAM M. MECINSKI M.D. LLC
Practice address
56 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4860
Phone
(301) 378-2015
Fax
(301) 662-4011
NPI assigned
Aug 18, 2008
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Weigand
Title
Office Manager
Phone
(301) 378-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0057777 MD Primary

Addresses

Primary practice location

56 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4860

Mailing address

56 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4860
Phone (301) 378-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000223 MD Part B Supplier - Clinic/Group Practice 6002981644 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

1900 Rosemont Ave
Frederick, MD 21702
Phone (301) 694-1500

56 Thomas Johnson Dr
Ste 1022
Frederick, MD 21702

84 Thomas Johnson Ct
Ste C
Frederick, MD 21702
Phone (301) 378-2015

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1003062449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024860",
            "telephone_number": "301-378-2015",
            "fax_number": "301-662-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024860",
            "telephone_number": "301-378-2015",
            "fax_number": "301-662-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM M. MECINSKI M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "WEIGAND",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-378-2015"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0057777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.