Individual provider Active NPI

Misbah Naureen

  • Family Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1215541537
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R206887 Issued in MD
Practice address
5108 King Ave
Rosedale, MD 21237-3327
Phone
(443) 653-2835
NPI assigned
Sep 3, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 R206887 MD Primary

Addresses

Primary practice location

5108 King Ave
Rosedale, MD 21237-3327

Mailing address

5108 King Ave
Rosedale, MD 21237-3327
Phone (443) 653-2835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201221000188 MD Practitioner - Nurse Practitioner 0143632919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians

Practice addresses (Care Compare)

1730 Merritt Blvd
Dundalk, MD 21222-3212
Phone (410) 650-4730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R206887MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

744 S Philadelphia Blvd
Ste B
Aberdeen, MD 21001
Phone (443) 345-2650

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

14237 Jarrettsville Pike
Phoenix, MD 21131
Phone (410) 650-4734

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1215541537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 KING AVE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373327",
            "telephone_number": "443-653-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 KING AVE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373327",
            "telephone_number": "443-653-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUREEN",
        "first_name": "MISBAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.