NPIMap

Organization Active NPI

Five Star Physician Services, LLC

  • Internal Medicine Physician
  • Linthicum Heights, MD
National Provider Identifier
1083654479
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIVE STAR PHYSICIAN SERVICES, LLC
Practice address
785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958
Phone
(443) 548-5700
Fax
(443) 548-5705
NPI assigned
Jun 7, 2006
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Ms. Rachel Setting
Title
Operations Manager
Phone
(410) 279-0317

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU
Plastic Surgery Physician 208200000X NU

Addresses

Primary practice location

785 Elkridge Landing Rd Ste 300
Linthicum Heights, MD 21090-2958

Mailing address

P.O. Box 2613
Salisbury, MD 21802-2613
Phone (443) 548-5700

Other identifiers 2

IdentifierTypeStateIssuer
539702400MedicaidMD
027430900MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, DE, VA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040512000797 DC Part B Supplier - Clinic/Group Practice 3779572862 Receives reassigned benefits from 44 practitioners
Practice locations: Chevy Chase, MD; Clinton, MD; Linthicum, MD; Woodbridge, VA
O20040528000495 MD Part B Supplier - Clinic/Group Practice 3779572862 Receives reassigned benefits from 78 practitioners
Practice locations: Linthicum Heights, MD
O20110913000158 DE Part B Supplier - Clinic/Group Practice 3779572862 Receives reassigned benefits from 3 practitioners
Practice locations: Delmar, DE
O20120927000612 VA Part B Supplier - Clinic/Group Practice 3779572862 Receives reassigned benefits from 7 practitioners
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

901 Elkridge Landing Rd
Ste 100
Linthicum Heights, MD 21090
Phone (800) 405-9681

Practitioners & affiliated clinicians

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1083654479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2613",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218022613",
            "telephone_number": "443-548-5700",
            "fax_number": "443-548-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 ELKRIDGE LANDING RD STE 300",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210902958",
            "telephone_number": "443-548-5700",
            "fax_number": "443-548-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SETTING",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "410-279-0317",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539702400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027430900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.