Organization Active NPI

Cangepodiatry DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Glen Burnie, MD
National Provider Identifier
1043470339
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01457 Issued in MD
Legal business name
CANGEPODIATRY DPM PA
Practice address
7310 Ritchie Hwy Ste 404
Glen Burnie, MD 21061-3082
Phone
(410) 766-1444
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Darlyne CangeNPI 1508904772
Title
Doctor
Phone
(410) 733-4770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01457 MD Primary

Addresses

Primary practice location

7310 Ritchie Hwy Ste 404
Glen Burnie, MD 21061-3082

Mailing address

PO Box 1606
Ellicott City, MD 21041-1606
Phone (410) 733-4770

Other identifiers 9

IdentifierTypeStateIssuer
201922OtherMDJOHN HOPKINS/PRIORITY PARTNERS/UNIFORMED SERVICES FAMILY HEALTH/EMPLOYER HEALTH
7278OtherMDBRAVO/ELDER HEALTH
018750060OtherMDMARYLAND PHYSICIAN CARE
P00645864 AND DN9160OtherMDRAILROAD MEDICARE
002XDOtherMDCAREFIRST OF MARYLAND
3175526OtherMDUNITED HEALTH CARE
415343000MedicaidMD
9443167OtherMDAETNA
D364OtherMDBLUE CROSS BLUE SHIELD-GHMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080812000641 MD Part B Supplier - Clinic/Group Practice 1557436490 Receives reassigned benefits from 1 practitioner
Practice locations: Randalltown, MD; Odenton, MD; Lansdowne, MD; Ellicott City, MD; Glen Burnie, MD; Baltimore, MD; Columbia, MD
O20100930044652 MD DME Supplier - Physician - Podiatry 1557436490 Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory
Tax ID family
Dr Darlyne Cangedpmllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7310 Ritchie Hwy
Ste 404
Glen Burnie, MD 21061
Phone (410) 766-1444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1043470339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1606",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210411606",
            "telephone_number": "410-733-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 404",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613082",
            "telephone_number": "410-766-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANGEPODIATRY DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "CANGE",
        "authorized_official_first_name": "DARLYNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "410-733-4770"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN HOPKINS/PRIORITY PARTNERS/UNIFORMED SERVICES FAMILY HEALTH/EMPLOYER HEALTH",
            "identifier": "201922",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO/ELDER HEALTH",
            "identifier": "7278",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PHYSICIAN CARE",
            "identifier": "018750060",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00645864 AND DN9160",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "002XD",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3175526",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415343000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9443167",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD-GHMSI",
            "identifier": "D364",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.