NPIMap

Mdics Rehabilitative Services LLC

Organization Active NPI Internal Medicine Physician · Glen Burnie, MD

NPI 1124313309 · NPPES record last updated Jan 12, 2024

Key facts

NPI
1124313309
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
MDICS REHABILITATIVE SERVICES LLC
Practice address
6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593
Phone
(443) 949-0814
Fax
(443) 949-0825
NPI assigned
Jun 15, 2011
Organization subpart
No

Authorized official

Name
Tim Delbrugge
Title
Cfo
Phone
(301) 693-8707

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 162

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 162

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in DC, MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120202000749 DC Part B Supplier - Clinic/Group Practice 4981861903 Receives reassigned benefits from 158 practitioners
Practice locations: Silver Spring, MD; Takoma Park, MD; Clinton, MD; Mitchellville, MD; Kensington, MD; Sandy Spring, MD
O20120206000334 MD Part B Supplier - Clinic/Group Practice 4981861903 Receives reassigned benefits from 71 practitioners
1 other NPI on this enrollment
Practice locations: Pikesville, MD; Glen Burnie, MD; Hagerstown, MD; La Plata, MD; Leonardtown, MD; Lexington Park, MD; Prince Frederick, MD; Randallstown, MD…

National Provider Directory

Locations

531 Stevenson Ln
Towson, MD 21286
Phone (410) 823-5310

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593

Mailing address

PO Box 69231
Baltimore, MD 21264-9231
Phone (443) 949-0814

Other practice location 1

531 Stevenson Ln
Towson, MD 21286-7607
Phone (410) 823-5310

Other practice location 2

1000 N Gilmor St
Baltimore, MD 21217-2207
Phone (410) 669-2750

Other practice location 3

2700 Southaven Rd
Annapolis, MD 21401-7122
Phone (410) 897-1300

Other providers in Glen Burnie, MD

All providers in Glen Burnie, MD · Internal Medicine Physician in Maryland

Sources for this page

Verify at the official NPI Registry.