Individual provider Active NPI

Gelnar Teresa Talj, PA

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1093096794
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11110 Medical Campus Rd Ste 250
Hagerstown, MD 21742-6756
Phone
(301) 733-4404
Fax
(301) 733-3984
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 250
Hagerstown, MD 21742-6756

Mailing address

2153 Collingwood LN
Frederick, MD 21702-9403
Phone (240) 422-2273

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
I20111206000453 MD Practitioner - Physician Assistant 3577738368 Reassigns benefits to 6 organizations
I20130314000197 DC Practitioner - Physician Assistant 3577738368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Practices of Antietam, LLCGroup PAC ID 2567353865, 229 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Meritus Urgent Care LLCGroup PAC ID 2163582974, 41 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700
Phone (301) 790-9496

11110 Medical Campus Rd
Hagerstown, MD 21742-6727

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8300

17301 Valley Mall Rd
Suite 125
Hagerstown, MD 21740-6966
Phone (301) 790-9239

3 Byrkit Dr
Williamsport, MD 21795-1158
Phone (301) 582-1150

351 N Pennsylvania Ave
Hancock, MD 21750-1046
Phone (240) 752-6000

Hospital & facility affiliations

  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC CurrentSince Apr 11, 2021 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Dec 19, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

19777 Frederick Rd
Germantown, MD 20876
Phone (240) 388-9314

324 E Antietam St
Ste 203
Hagerstown, MD 21740
Phone (240) 313-9830

13620 Crayton Blvd
Hagerstown, MD 21742
Phone (240) 313-3100

11110 Medical Campus Rd
Ste 242
Hagerstown, MD 21742
Phone (240) 291-2366

11236 Robinwood Dr
Ste 101
Hagerstown, MD 21742
Phone (240) 313-4242

11110 Medical Campus Rd
Ste 250
Hagerstown, MD 21742
Phone (301) 665-4960

11110 Medical Campus Rd
Ste 229
Hagerstown, MD 21742
Phone (301) 665-4500

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 8

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 1

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1093096794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 COLLINGWOOD LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029403",
            "telephone_number": "240-422-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 250",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426756",
            "telephone_number": "301-733-4404",
            "fax_number": "301-733-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALJ",
        "first_name": "GELNAR",
        "middle_name": "TERESA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.