Individual provider Active NPI

Harold O. Gaines, M.D.

  • Emergency Medicine Physician
  • La Plata, MD
National Provider Identifier
1255328811
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D44230 Issued in MD
Practice address
701 Charles St
La Plata, MD 20646-5930
Phone
(301) 609-4000
Fax
(301) 609-4410
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0044230 MD
Emergency Medicine Physician 207P00000X D44230 MD Primary

Addresses

Primary practice location

701 Charles St
La Plata, MD 20646-5930

Mailing address

3836 Early Glow LN
Bowie, MD 20716-3362
Phone (301) 352-0980

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000856 MD Practitioner - Emergency MedicinePractitioner - General Surgery 8325094899 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Buffalo School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians
Anacostia Medical AssociatesGroup PAC ID 8123257821, 24 clinicians

Practice addresses (Care Compare)

3581 Old Washington Rd
Suite D
Waldorf, MD 20602-3270
Phone (301) 609-5006

5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4474

Hospital & facility affiliations

  • University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue128
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0044230MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Shock Trauma Associates, P.a. CurrentSince Sep 30, 2015 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 27, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 27, 2023 Accepting new patients
Delphi Healthcare Partners of Maryland LLC Past Accepting new patients
Maryland Inpatient Care Specialists LLC Past Accepting new patients
Civista Clinical Services, LLC Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

500 Charles St
La Plata, MD 20646
Phone (301) 609-4699

100 N Oak Ave
La Plata, MD 20646
Phone (301) 609-4276

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

3581 Old Washington Rd
Ste D
Waldorf, MD 20602
Phone (301) 609-5006

Interoperability endpoints

  • Direct secure messaging: hgaines547980@direct.umm.edu

Organizations & group practices 8

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 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1255328811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 EARLY GLOW LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163362",
            "telephone_number": "301-352-0980",
            "fax_number": "301-609-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CHARLES ST",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465930",
            "telephone_number": "301-609-4000",
            "fax_number": "301-609-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "HAROLD",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0044230",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D44230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.