Individual provider Active NPI

Mfoniso D Umoren, M.D.

  • Gastroenterology Physician
  • Glen Burnie, MD
National Provider Identifier
1144752106
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD048197 Issued in DC
Practice address
804 Landmark Dr Ste 118
Glen Burnie, MD 21061-4486
Phone
(410) 863-4899
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X D0098776 MD
Gastroenterology Physician 207RG0100X 71523 TN
Gastroenterology Physician 207RG0100X MD048197 DC Primary
Internal Medicine Physician 207R00000X 71523 TN
Internal Medicine Physician 207R00000X MD048197 DC

Addresses

Primary practice location

804 Landmark Dr Ste 118
Glen Burnie, MD 21061-4486

Mailing address

804 Landmark Dr Ste 118
Glen Burnie, MD 21061-4486
Phone (410) 863-4899

Other practice location 1

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 2

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 3

824 N Military Hwy Ste 100
Norfolk, VA 23502-3652
Phone (888) 236-2263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, TN, VA, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220524000667 DC Practitioner - Internal Medicine 2264819671 Reassigns benefits to 3 organizations
I20231210000089 MD Practitioner - Internal Medicine 2264819671 Reassigns benefits to 2 organizations
I20250116001861 TN Practitioner - Gastroenterology 2264819671 Reassigns benefits to 1 organization
I20250320003920 VA Practitioner - Gastroenterology 2264819671 Reassigns benefits to 2 organizations
I20250411000617 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 2264819671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

1838 Greene Tree Rd
Suite 400
Pikesville, MD 21208-7103
Phone (410) 602-7782

2035 Technology Pkwy
Suite 200
Mechanicsburg, PA 17050-9422
Phone (717) 988-8567

2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000

2790 Godwin Blvd
Suite 235
Suffolk, VA 23434-8038
Phone (757) 934-4580

2800 Godwin Blvd
Suffolk, VA 23434-8038

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy141
Upper gastrointestinal (GI) endoscopy for acid reflux349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048197DCMDInternal Medicine Physician
D0098776MDMDGastroenterology Physician
71523TNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Multi-Specialty CurrentSince Dec 6, 2024 Accepting new patients
Pinnacle Health Medical Services Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Wellmont Medical Associates Inc Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
Pinnacle Health Medical Services Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Wellmont Medical Associates, Inc. Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
M Medical Group, Inc. Multi-Specialty CurrentSince Dec 10, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Pinnacle Health Medical Services Multi-Specialty Current Accepting new patients
Lifebridge Community Gastroenterology, LLC Multi-Specialty CurrentSince Jul 22, 2024 Accepting new patients
M Medical Group, Inc. Multi-Specialty CurrentSince Dec 10, 2023 Accepting new patients
Capital Healthcare PC Multi-Specialty CurrentSince Feb 15, 2022 Accepting new patients
Medstar Medical Group II LLC Multi-Specialty Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dr Wendy Kloesz, M.D., P.a Multi-Specialty Past Accepting new patients

Locations

223 7th St NE
Washington, DC 20002
Phone (202) 543-4800

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

804 Landmark Dr
Ste 118
Glen Burnie, MD 21061
Phone (410) 863-4899

6500 Riggs Rd
Hyattsville, MD 20783
Phone (301) 434-0500

9001 Cherry Ln
Laurel, MD 20708
Phone (301) 498-8558

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2035 Technology Pkwy
Ste 200
Mechanicsburg, PA 17050
Phone (717) 724-6780

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

824 N Military Hwy
Ste 100
Norfolk, VA 23502
Phone (888) 236-2263

Interoperability endpoints

  • Direct secure messaging: mumoren554615@direct.umm.edu
  • Direct secure messaging: mumoren1236068@direct.hopkinsmedicine.org
  • Direct secure messaging: mumoren3024016@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1144752106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LANDMARK DR STE 118",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614486",
            "telephone_number": "410-863-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LANDMARK DR STE 118",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614486",
            "telephone_number": "410-863-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "824 N Military Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023652",
            "country_code": "US",
            "telephone_number": "888-236-2263",
            "fax_number": "757-390-4551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMOREN",
        "first_name": "MFONISO",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0098776",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "71523",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DC",
            "license": "MD048197",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "71523",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD048197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.