Active NPI
Ellen Rose McInerney, M. D.
- Internal Medicine Physician
- Edgewater, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D70838
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3338041 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Eastern Virginia Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51437 | CA | MD | Pharmacist |
| D70838 | MD | MD | Internal Medicine Physician |
| MD0000040572 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics Rehabilitative Services - Ltcaco LLC | Internal Medicine | Current | Accepting new patients |
| Mdics Rehabilitative Services LLC | Internal Medicine | Current | Accepting new patients |
| Mdics at Civista LLC | Current | Accepting new patients | |
| Alignmed Medical Group, PC | Current | Accepting new patients | |
| Mdics at Anne Arundel LLC | Current | Accepting new patients | |
| Adfinitas Health at Encompass Rehab LLC | Internal Medicine | Current | Accepting new patients |
| Genesis Eldercare Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Internal Medicine | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Autumn Lake Healthcare at Spa Creek | 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.
-
dba Autumn Lake Healthcare at Spa Creek
- Skilled Nursing Facility
- Annapolis, MD
- NPI 1194301861
Adp of the SNF, Operational/Managerial Control
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1366289423
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Salisbury, MD
- NPI 1881635183
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1427343664
-
- Internal Medicine Physician
- La Plata, MD
- NPI 1033005475
DC
-
dba GPS Physician Group PC
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
DC, MD
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1588690135
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Hospitalist Physician
- La Plata, MD
- NPI 1225323496
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Bowie Health Center
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
dba Doctors Community Hospital
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.