NPIMap

Organization Active NPI

Tele911 Maryland Emergency Medical Group PA

  • Emergency Medicine Physician
  • Belcamp, MD
National Provider Identifier
1184433732
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
TELE911 MARYLAND EMERGENCY MEDICAL GROUP PA
Practice address
4690 Millennium Dr
Belcamp, MD 21017-1523
Phone
(254) 835-3911
NPI assigned
Jan 7, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Hanna Eadah, MD
Title
Medical Director
Phone
(254) 835-3911

Practitioners 13

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20250808000273 MD Part B Supplier - Clinic/Group Practice 2466950555 Receives reassigned benefits from 13 practitioners
Practice locations: Belcamp, MD

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4690 Millennium Dr
Belcamp, MD 21017-1523

Mailing address

PO Box 737359
Dallas, TX 75373-7359

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2025.

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1184433732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737359",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753737359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 MILLENNIUM DR",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171523",
            "telephone_number": "254-835-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELE911 MARYLAND EMERGENCY MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "EADAH",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "254-835-3911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcamp, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.