Active NPI
Angela Dumitrache, M.D.
- Psychiatry Physician
- Frederick, MD
National Provider Identifier
1245238328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 21360
- Practice address
- 4540 Mack Ave Ste B
Frederick, MD 21703-3303 - Phone
- (301) 733-0331
- Fax
- (301) 733-4038
- NPI assigned
- Jul 12, 2005
- Last updated
- Feb 15, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21360 | WV | Primary |
Addresses
Primary practice location
4540 Mack Ave Ste B
Frederick, MD 21703-3303
Mailing address
13121 Brook Lane
Hagerstown, MD 21742-1514
Phone (301) 733-0331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006675000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Winchester Family Health Center
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
-
dba Shenandoah Community Health Widmyer Elementary
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1245238328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13121 BROOK LANE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421514",
"telephone_number": "301-733-0331",
"fax_number": "301-733-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 MACK AVE STE B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217033303",
"telephone_number": "301-733-0331",
"fax_number": "301-733-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMITRACHE",
"first_name": "ANGELA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "21360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006675000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.