Active NPI
Regenia Adell Carpenter- Edmond, M.D.
- Specialist
- Baltimore, MD
National Provider Identifier
1114906203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0047263
- Practice address
- 2000 W Baltimore St
Baltimore, MD 21223-1558 - Phone
- (410) 362-3000
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0047263 | MD | Primary |
Addresses
Primary practice location
2000 W Baltimore St
Baltimore, MD 21223-1558
Mailing address
5320 Woodnote LN
Columbia, MD 21044-5707
Phone (410) 740-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Harvard Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0047263 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Urgent Care LLC | Current | Accepting new patients | |
| Ez Primed LLC | Past | Accepting new patients | |
| Bettina Adjei MD PA | Past | Accepting new patients |
Locations
6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890
3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960
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.
-
dba MedStar PromptCare
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1902175870
-
dba MedStar PromptCare-Wheaton
- Urgent Care Clinic/Center
- Wheaton, MD
- NPI 1871843409
DC
-
- Urgent Care Clinic/Center
- Eldersburg, MD
- NPI 1417135187
-
- Internal Medicine Physician
- Timonium, MD
- NPI 1619614724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1114906203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5320 WOODNOTE LN",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210445707",
"telephone_number": "410-740-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W BALTIMORE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212231558",
"telephone_number": "410-362-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER- EDMOND",
"first_name": "REGENIA",
"middle_name": "ADELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0047263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.