Individual provider Active NPI

Deep Hans Mahapatra

  • Family Medicine Physician
  • Perry Hall, MD
National Provider Identifier
1053874115
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H96650 Issued in MD
Practice address
5009 Honeygo Center Dr Ste 216
Perry Hall, MD 21128-9842
Phone
(410) 256-5858
Fax
(410) 529-2431
NPI assigned
Apr 7, 2019
Last updated
May 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H96650 MD Primary

Addresses

Primary practice location

5009 Honeygo Center Dr Ste 216
Perry Hall, MD 21128-9842

Mailing address

215 Brightwater Dr
Lillington, NC 27546-5156
Phone (910) 892-1000

Other practice location 1

215 Brightwater Dr
Lillington, NC 27546-5156
Phone (910) 892-1000 ext. 3005

Other practice location 2

2 Colgate Dr Ste 103
Forest Hill, MD 21050-2623
Phone (410) 420-0161

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
I20230505001790 MD Practitioner - Osteopathic Manipulative Medicine 9931564416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Upper Chesapeake Primary Care,LLCGroup PAC ID 3476637737, 17 clinicians

Practice addresses (Care Compare)

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8088

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

2 Colgate Dr
Suite 103
Forest Hill, MD 21050-2623
Phone (410) 420-0161

4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H96650MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Primary Care,LLC CurrentSince Mar 20, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

2 Colgate Dr
Ste 103
Forest Hill, MD 21050
Phone (410) 420-0161

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

5009 Honeygo Center Dr
Ste 216
Perry Hall, MD 21128
Phone (410) 235-5405

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1053874115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BRIGHTWATER DR",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465156",
            "telephone_number": "910-892-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR STE 216",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289842",
            "telephone_number": "410-256-5858",
            "fax_number": "410-529-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Brightwater Dr",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-892-1000 x3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Colgate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Forest Hill",
            "state": "MD",
            "postal_code": "210502623",
            "country_code": "US",
            "telephone_number": "410-420-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAPATRA",
        "first_name": "DEEP",
        "middle_name": "HANS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H96650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

Verify at the official NPI Registry.