Active NPI
Mfoniso D Umoren, M.D.
- Gastroenterology Physician
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD048197
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Johns Hopkins Howard County Medical Center
- Upmc Pinnacle Hospitals
- University of MD Shore Medical Center at Easton
- Wellmont Bristol Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 141 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 349 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD048197 | DC | MD | Internal Medicine Physician |
| D0098776 | MD | MD | Gastroenterology Physician |
| 71523 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Multi-Specialty | Current | Accepting new patients |
| Pinnacle Health Medical Services | Multi-Specialty | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Multi-Specialty | Current | Accepting new patients |
| Pinnacle Health Medical Services | Multi-Specialty | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Multi-Specialty | Current | Accepting new patients |
| Pikesville MD Endoscopy ASC LLC | Current | Accepting new patients | |
| M Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Pinnacle Health Medical Services | Multi-Specialty | Current | Accepting new patients |
| Lifebridge Community Gastroenterology, LLC | Multi-Specialty | Current | Accepting new patients |
| M Medical Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Capital Healthcare PC | Multi-Specialty | Current | 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
- mumoren554615@direct.umm.edu
- mumoren1236068@direct.hopkinsmedicine.org
- 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.
-
- Gastroenterology Physician
- Pikesville, MD
- NPI 1033558416
Multi-Specialty
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
Multi-Specialty
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
Multi-Specialty
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
Multi-Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1780056168
DC, Multi-Specialty
-
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
- NPI 1043497019
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
Multi-Specialty
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
Multi-Specialty
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
-
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.