Individual provider Active NPI

Andrew M Pataki, MD

  • Obstetrics & Gynecology Physician
  • Ellicott City, MD
National Provider Identifier
1225097637
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0030072 Issued in MD
Practice address
3454 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4113
Phone
(410) 465-4690
Fax
(410) 465-8144
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0030072 MD Primary

Addresses

Primary practice location

3454 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4113

Mailing address

3454 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4113
Phone (410) 465-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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
I20041004000153 MD Practitioner - Obstetrics/Gynecology 7911976204 Reassigns benefits to 1 organization
I20170718000238 PA Practitioner - Obstetrics/Gynecology 7911976204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3 Hospital Dr
Lewisburg, PA 17837-9394

3454 Ellicott Ctr Dr
Suite 103
Ellicott City, MD 21043-4130
Phone (410) 465-4690

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Womens Center OB GYN Assoc LLC Obstetrics & Gynecology CurrentSince Aug 1, 1995 Accepting new patients
Evangelical Medical Services Organization Obstetrics & Gynecology CurrentSince Jan 31, 2019 Accepting new patients
Evangelical Medical Services Organization CurrentSince Jan 31, 2019 Accepting new patients
Wellspan Medical Group Past Accepting new patients
Evangelical Community Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3454 Ellicott Center Dr
Ste 103
Ellicott City, MD 21043
Phone (410) 465-4690

1131 Benfield Blvd
Ste G
Millersville, MD 21108
Phone (410) 458-8085

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 312
Lewisburg, PA 17837
Phone (570) 523-8700

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

3 Hospital Dr
Ste 216
Lewisburg, PA 17837
Phone (570) 523-8700

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: apataki485327@wellspan.direct-ci.com

Organizations & group practices 9

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 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1225097637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 ELLICOTT CENTER DR",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434113",
            "telephone_number": "410-465-4690",
            "fax_number": "410-456-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 ELLICOTT CENTER DR",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434113",
            "telephone_number": "410-465-4690",
            "fax_number": "410-465-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAKI",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0030072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.