Individual provider Active NPI

Andrew L Hodge, PA

  • Medical Physician Assistant
  • Westminster, MD
National Provider Identifier
1063609402
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003695 Issued in MD
Practice address
193 Stoner Ave
Suite 220
Westminster, MD 21157-5587
Phone
(410) 751-5606
Fax
(410) 751-5603
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003695 MD Primary

Addresses

Primary practice location

193 Stoner Ave
Suite 220
Westminster, MD 21157-5587

Mailing address

193 Stoner Ave
Suite 220
Westminster, MD 21157-5587
Phone (410) 751-5606

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090813000140 MD Practitioner - Physician Assistant 6608920400 Reassigns benefits to 3 organizations
I20251113004762 DC Practitioner - Physician Assistant 6608920400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

1505 E Churchville Rd
Bel Air, MD 21014-4742

2570 -72 Quarry Lake Dr
Expresscare of Quarry Lake
Baltimore, MD 21209-3759
Phone (443) 842-6238

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0003695MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Nov 10, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Nov 10, 2025 Accepting new patients
MNR Industries,LLC CurrentSince Nov 10, 2025 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Carroll Health Group, LLC PastSince Apr 27, 2025 Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

9832 York Rd
Ste F
Cockeysville, MD 21030
Phone (410) 628-1861

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

Organizations & group practices 10

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1063609402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 220",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-751-5606",
            "fax_number": "410-751-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 220",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-751-5606",
            "fax_number": "410-751-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.