Individual provider Active NPI

Ahmad Mines, CRNP

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1215407606
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R207479 Issued in MD
Practice address
1600 Crain Hwy S Ste 408
Glen Burnie, MD 21061-6437
Phone
(410) 424-2237
NPI assigned
Nov 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R207479 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S Ste 408
Glen Burnie, MD 21061-6437

Mailing address

12910 Moray Rd
Silver Spring, MD 20906-4242
Phone (202) 495-8320

Other practice location 1

12910 Moray Rd
Silver Spring, MD 20906-4242
Phone (202) 495-8320

Other practice location 2

11921 Rockville Pike Ste 401
Rockville, MD 20852-2757
Phone (855) 565-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190211000155 MD Practitioner - Nurse Practitioner 2264770650 Reassigns benefits to 3 organizations
I20190911002085 DC Practitioner - Nurse Practitioner 2264770650 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852-1133
Phone (301) 424-0658

Merit-based Incentive Payment System (MIPS)

Final score
53.05 of 100Reported as group
Quality
49.52
Promoting interoperability
0
Improvement activities
40
Cost
77.32

Merit-based Incentive Payment System (MIPS)

Final score
95.13 of 100Reported as apm
Quality
90.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Institutes of Multidimensional Medicine PLLC Current Accepting new patients
Center for Vein Restoration MD LLC Current Accepting new patients
Med-Ped Health Care LLC CurrentSince Aug 21, 2019 Accepting new patients
Center for Vein Restoration MD LLC CurrentSince Jan 2, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 24, 2025 Accepting new patients
Express Healthcare, LLC CurrentSince Aug 21, 2019 Accepting new patients
CRH MD Management LLC CurrentSince Mar 25, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Mar 25, 2024 Accepting new patients
Center for Vein Restoration MD LLC CurrentSince Jan 2, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Express Healthcare, LLC Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients

Locations

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

590 Lanier Ave W
Fayetteville, GA 30214

2002 Medical Pkwy
Ste 350
Annapolis, MD 21401
Phone (301) 441-2269

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

4701 Melbourne Pl
College Park, MD 20740
Phone (301) 345-4400

1600 Crain Hwy S
Ste 408
Glen Burnie, MD 21061
Phone (410) 424-2237

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

301 Steeple Chase Dr
Ste 401
Prince Frederick, MD 20678
Phone (301) 494-8641

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

11921 Rockville Pike
Ste 401
Rockville, MD 20852
Phone (301) 468-5781

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

1211 Liberty Rd
Sykesville, MD 21784
Phone (410) 617-9129

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6305 Castle Pl
Ste 2D
Falls Church, VA 22044
Phone (703) 344-8355

Interoperability endpoints

  • Direct secure messaging: ahmad.mines.1@17374.direct.athenahealth.com
  • Direct secure messaging: ahmad.minescrnp.p3@direct.cvr.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1215407606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 MORAY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064242",
            "telephone_number": "202-495-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 408",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616437",
            "telephone_number": "410-424-2237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12910 Moray Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209064242",
            "country_code": "US",
            "telephone_number": "202-495-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11921 Rockville Pike Ste 401",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522757",
            "country_code": "US",
            "telephone_number": "855-565-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINES",
        "first_name": "AHMAD",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.