Individual provider Active NPI

Mark T Edney, MD

  • Urology Physician
  • Berlin, MD
National Provider Identifier
1184684789
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D60185 Issued in MD
Practice address
314 Franklin Ave Ste 302
Berlin, MD 21811-1238
Phone
(410) 641-3735
NPI assigned
Mar 27, 2006
Last updated
May 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D60185 MD Primary

Addresses

Primary practice location

314 Franklin Ave Ste 302
Berlin, MD 21811-1238

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (410) 641-3735

Other practice location 1

1342 South Division Street
Unit 401 Peninsula Urology Associates PA
Salisbury, MD 21084
Phone (410) 546-2133

Other practice location 2

1111 Mount Hermon Rd
Salisbury, MD 21804-5109
Phone (410) 546-2133

Other practice location 3

220 Pennsylvania Ave
Seaford, DE 19973-3820
Phone (410) 391-6131

Other identifiers 1

IdentifierTypeStateIssuer
405034700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040325001127 MD Practitioner - Urology 7012809015 Reassigns benefits to 1 organization
I20080908000180 DE Practitioner - UrologyPractitioner - General Surgery 7012809015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Geisel School of Medicine at Dartmouth, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, shared by 4 NPIs, 161 clinicians

Practice addresses (Care Compare)

1111 Mount Hermon Rd
A
Salisbury, MD 21804-5109
Phone (410) 546-2133

1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140

220 Pennsylvania Ave
Seaford, DE 19973-3820
Phone (410) 581-1600

314 Franklin Ave
Suite 302
Berlin, MD 21811-1238
Phone (410) 641-3735

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC Urology CurrentSince Apr 1, 2018 Accepting new patients
Chesapeake Urology Associates, LLC Urology CurrentSince Apr 1, 2018 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Chesapeake Urology Associates LLC Urology CurrentSince Apr 1, 2018 Accepting new patients

Locations

1340 Middleford Rd
Ste 402
Seaford, DE 19973
Phone (302) 628-8706

220 Pennsylvania Ave
Seaford, DE 19973
Phone (302) 628-4222

314 Franklin Ave
Ste 302
Berlin, MD 21811
Phone (410) 641-0430

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

1111 Mount Hermon Rd
Salisbury, MD 21804
Phone (410) 543-0446

1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133

1111 Mount Hermon Rd
Ste A
Salisbury, MD 21804
Phone (410) 546-6650

1342 S Division St
#401
Salisbury, MD 21804
Phone (410) 546-2133

Interoperability endpoints

  • Direct secure messaging: markedney@tsicua.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tidalhealth Peninsula Regional IncSalisbury, MD, CCN 210019 Hospital Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1184684789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "410-641-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 302",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111238",
            "telephone_number": "410-641-3735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1342 South Division Street",
            "address_2": "Unit 401 Peninsula Urology Associates PA",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "21084",
            "country_code": "US",
            "telephone_number": "410-546-2133",
            "fax_number": "210-548-3361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Mount Hermon Rd",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218045109",
            "country_code": "US",
            "telephone_number": "410-546-2133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733820",
            "country_code": "US",
            "telephone_number": "410-391-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDNEY",
        "first_name": "MARK",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D60185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405034700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.