Individual provider Active NPI

Ameya Umakant Amritwar, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Ellicott City, MD
National Provider Identifier
1023445772
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
D0082940 Issued in MD
Practice address
4100 College Ave
Ellicott City, MD 21043-5506
Phone
(443) 613-9906
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X D0082940 MD Primary

Addresses

Primary practice location

4100 College Ave
Ellicott City, MD 21043-5506

Mailing address

4100 College Ave
Ellicott City, MD 21043-5506
Phone (443) 364-5500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aamritwar@sheppardpratt.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000241 MD Practitioner - Psychiatry 4880972488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheppard Pratt Physicians PAGroup PAC ID 8224937610, 70 clinicians

Practice addresses (Care Compare)

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-5000

7220 Discovery Dr
Elkridge, MD 21075-7414
Phone (410) 938-3000

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0082940MDMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Physicians, P.a. CurrentSince Sep 11, 2017 Accepting new patients
Sheppard Pratt Health System, Inc Past Accepting new patients
Sheppard Pratt Health System, Inc. Past Accepting new patients

Locations

4100 College Ave
Ellicott City, MD 21043
Phone (410) 465-3322

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1023445772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 COLLEGE AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435506",
            "telephone_number": "443-364-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 COLLEGE AVE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435506",
            "telephone_number": "443-613-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRITWAR",
        "first_name": "AMEYA",
        "middle_name": "UMAKANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MD",
            "license": "D0082940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aamritwar@sheppardpratt.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4100 College Ave",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210435506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.