Individual provider Active NPI

Thomas G Amalfitano, MD

  • Orthopaedic Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1104812809
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0043036 Issued in MD
Practice address
13 Western Maryland Pkwy Ste 104
Hagerstown, MD 21740
Phone
(301) 665-4575
Fax
(301) 665-4576
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0043036 MD Primary

Addresses

Primary practice location

13 Western Maryland Pkwy Ste 104
Hagerstown, MD 21740

Mailing address

13 Western Maryland Pkwy Ste 104
Hagerstown, MD 21740-6474
Phone (301) 665-4575

Other practice location 1

1120A Professional Ct
Hagerstown, MD 21740-5852
Phone (301) 739-7900 ext. 106

Other identifiers 1

IdentifierTypeStateIssuer
155441700MedicaidMD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000108 MD Practitioner - Orthopedic Surgery 4789621467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Apr 29, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopaedic Surgery CurrentSince Apr 29, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

13 Western Maryland Pkwy
Ste 104
Hagerstown, MD 21740
Phone (301) 665-4575

Interoperability endpoints

  • Direct secure messaging: 04tamalfitano@cfaortho.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552176000000",
    "number": "1104812809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WESTERN MARYLAND PKWY STE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406474",
            "telephone_number": "301-665-4575",
            "fax_number": "301-665-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WESTERN MARYLAND PKWY STE 104",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-665-4575",
            "fax_number": "301-665-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120A Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405852",
            "country_code": "US",
            "telephone_number": "301-739-7900 x106",
            "fax_number": "301-739-7112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMALFITANO",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2019-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0043036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155441700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.