NPIMap

Individual provider Active NPI

Heidi N Race, PA-C

  • Medical Physician Assistant
  • Cumberland, MD
National Provider Identifier
1154512556
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003559 Issued in MD
Practice address
625 Kent Ave Ste 302
Cumberland, MD 21502-3775
Phone
(301) 777-1930
Fax
(301) 777-8470
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003559 MD Primary

Addresses

Primary practice location

625 Kent Ave Ste 302
Cumberland, MD 21502-3775

Mailing address

2007 Tidewater Colony Dr
#1-A
Annapolis, MD 21401-2101
Phone (443) 949-0814

Other practice location 1

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-7000

Other practice location 2

12502 Willowbrook Rd Ste 420
Cumberland, MD 21502-6567
Phone (240) 964-8740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070928000597 MD Practitioner - Physician Assistant 1153416615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc Western Maryland Health Services LLCGroup PAC ID 7113396011, 162 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-6000

12502 Willowbrook Rd
Cumberland, MD 21502-6567

Hospital & facility affiliations

  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jul 19, 2007 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jul 19, 2007 Accepting new patients
Maryland Inpatient Care Specialists LLC Past Accepting new patients

Locations

12502 Willowbrook Rd
Ste 420
Cumberland, MD 21502
Phone (240) 964-8740

625 Kent Ave
Ste 302
Cumberland, MD 21502
Phone (301) 777-1930

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

Interoperability endpoints

  • Direct secure messaging: heidi.n.race@upmcdirect.com
  • Direct secure messaging: hrace205880@upmc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1154512556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 TIDEWATER COLONY DR",
            "address_2": "#1-A",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012101",
            "telephone_number": "443-949-0814",
            "fax_number": "443-949-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENT AVE STE 302",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023775",
            "telephone_number": "301-777-1930",
            "fax_number": "301-777-8470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026393",
            "country_code": "US",
            "telephone_number": "240-964-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12502 Willowbrook Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026567",
            "country_code": "US",
            "telephone_number": "240-964-8740",
            "fax_number": "240-964-8741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACE",
        "first_name": "HEIDI",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.