Individual provider Active NPI

Ellen Rose McInerney, M. D.

  • Internal Medicine Physician
  • Edgewater, MD
National Provider Identifier
1235176157
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D70838 Issued in MD
Practice address
137 Mitchells Chance Rd
Suite 180
Edgewater, MD 21037-2787
Phone
(410) 224-8220
NPI assigned
May 31, 2006
Last updated
May 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000040572 TN
Internal Medicine Physician 207R00000X D70838 MD Primary

Addresses

Primary practice location

137 Mitchells Chance Rd
Suite 180
Edgewater, MD 21037-2787

Mailing address

3100 Wyman Park Dr
Baltimore, MD 21211-2803

Other identifiers 1

IdentifierTypeStateIssuer
3338041MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20040205001267 DC Practitioner - Internal MedicinePractitioner - Hospitalist 8527951144 Reassigns benefits to 6 organizations
I20101122000542 MD Practitioner - Internal MedicinePractitioner - Hospitalist 8527951144 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Eastern Virginia Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adfinitas Health at Encompass Rehab LLCGroup PAC ID 6103283379, 8 clinicians

Practice addresses (Care Compare)

17351 Melford Blvd
Bowie, MD 20715-4457
Phone (240) 548-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51437CAMDPharmacist
D70838MDMDInternal Medicine Physician
MD0000040572TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services - Ltcaco LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Mdics Rehabilitative Services LLC Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Mdics at Civista LLC CurrentSince May 1, 2014 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 11, 2024 Accepting new patients
Mdics at Anne Arundel LLC CurrentSince Jul 9, 2021 Accepting new patients
Adfinitas Health at Encompass Rehab LLC Internal Medicine CurrentSince Mar 12, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Feb 21, 2017 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 1, 2014 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 9, 2018 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

17351 Melford Blvd
Bowie, MD 20715
Phone (240) 548-1300

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

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
Autumn Lake Healthcare at Spa CreekAnnapolis, MD, CCN 215258 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2022
Aug 1, 2022

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 10

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 4

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1235176157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WYMAN PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MITCHELLS CHANCE RD",
            "address_2": "SUITE 180",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372787",
            "telephone_number": "410-224-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINERNEY",
        "first_name": "ELLEN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000040572",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D70838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3338041",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

Verify at the official NPI Registry.