Individual provider Active NPI

Michael John Ritmiller, PA

  • Physician Assistant
  • Owings Mills, MD
National Provider Identifier
1063473601
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003159 Issued in MD
Practice address
21 Crossroads Dr
Suite 200
Owings Mills, MD 21117-5441
Phone
(410) 581-1600
NPI assigned
Mar 31, 2006
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003159 MD Primary
Surgical Physician Assistant 363AS0400X C0003159 MD

Addresses

Primary practice location

21 Crossroads Dr
Suite 200
Owings Mills, MD 21117-5441

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000533 MD Practitioner - Physician Assistant 1658381884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140

21 Crossroads Dr
Suite 200
Owings Mills, MD 21117-5483
Phone (410) 581-1600

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003159MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates LLC CurrentSince May 15, 2006 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince May 15, 2006 Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3407 Wilkens Ave
Ste 210
Baltimore, MD 21229
Phone (410) 644-0929

5051 Greenspring Ave
Ste 302
Baltimore, MD 21209
Phone (410) 343-3001

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

21 Crossroads Dr
Ste 200
Owings Mills, MD 21117
Phone (410) 581-8140

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

6820 Hospital Dr
Ste 210
Rosedale, MD 21237
Phone (410) 391-6131

Interoperability endpoints

  • Direct secure messaging: michaelritmiller@tsicua.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1063473601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "SUITE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175441",
            "telephone_number": "410-581-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITMILLER",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003159",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0003159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.