Organization Active NPI

Middle River Healthcare

  • Family Nurse Practitioner
  • Essex, MD
National Provider Identifier
1114682432
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MIDDLE RIVER HEALTHCARE
Practice address
621 Stemmers Run Rd Ste B
Essex, MD 21221-3386
Phone
(443) 492-2300
Fax
(443) 559-8360
NPI assigned
Nov 2, 2021
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Jatu KarpehNPI 1942864301
Title
Owner
Phone
(443) 492-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

621 Stemmers Run Rd Ste B
Essex, MD 21221-3386

Mailing address

621 Stemmers Run Rd Ste B
Essex, MD 21221-3386
Phone (443) 492-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211123001361 MD Part B Supplier - Clinic/Group Practice 8921497405 Receives reassigned benefits from 2 practitioners
Practice locations: Essex, MD

National Provider Directory

National Provider Directory

Locations

617 Stemmers Run Rd
Essex, MD 21221
Phone (410) 569-4184

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25453/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1114682432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 STEMMERS RUN RD STE B",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213386",
            "telephone_number": "443-492-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 STEMMERS RUN RD STE B",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213386",
            "telephone_number": "443-492-2300",
            "fax_number": "443-559-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE RIVER HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "KARPEH",
        "authorized_official_first_name": "JATU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-492-2300"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.