Individual provider Active NPI

David Anthony Nieglos, M.D.

  • Anesthesiology Physician
  • Annapolis, MD
National Provider Identifier
1063558468
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0067457 Issued in MD
Practice address
2001 Medical Pkwy
Anne Arundel Medical Center
Annapolis, MD 21401-3280
Phone
(410) 280-2260
Fax
(410) 280-2290
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0067457 MD Primary

Addresses

Primary practice location

2001 Medical Pkwy
Anne Arundel Medical Center
Annapolis, MD 21401-3280

Mailing address

7222 Brookfalls Ter
Baltimore, MD 21209-1643
Phone (410) 318-8869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080818000631 MD Practitioner - Anesthesiology 7113092685 Reassigns benefits to 2 organizations
I20210203001631 DC Practitioner - Anesthesiology 7113092685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Johns Hopkins University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Practice addresses (Care Compare)

800 Prince Frederick Blvd
Prince Frederick, MD 20678-3145
Phone (410) 535-2270

8905 Fairview Rd
Silver Spring, MD 20910-4150
Phone (888) 554-0631

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0067457MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Company, LLC Anesthesiology CurrentSince Jul 1, 2008 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 25, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 25, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

Organizations & group practices 4

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.

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1063558468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 BROOKFALLS TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091643",
            "telephone_number": "410-318-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "address_2": "ANNE ARUNDEL MEDICAL CENTER",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013280",
            "telephone_number": "410-280-2260",
            "fax_number": "410-280-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEGLOS",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0067457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.