Individual provider Active NPI

Meegan Christa Chestnut, M.D.

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1255513636
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D072639 Issued in MD
Practice address
5450 Knoll North Dr
Ste 260
Columbia, MD 21045-2373
Phone
(410) 964-5300
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Medicine LLC 7 clinicians

Practice addresses (Care Compare)

1302 Cronson Blvd
Suite E
Crofton, MD 21114-2064
Phone (301) 498-9494

14113 Baltimore Ave
Suite a
Laurel, MD 20707-5073
Phone (301) 498-9494

19 Walker Ave
Suite 102
Pikesville, MD 21208-4075
Phone (410) 653-2290

7301 E Furnace Branch Rd
Suite B
Glen Burnie, MD 21060-7059
Phone (410) 766-5136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110907000837 MD Practitioner - Internal Medicine 6800066531 Reassigns benefits to 1 organization
I20140616001412 DC Practitioner - Internal Medicine 6800066531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D072639MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medicine LLC CurrentSince Nov 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1302 Cronson Blvd
Ste E
Crofton, MD 21114
Phone (301) 498-9494

7301 E Furnace Branch Rd
Ste B
Glen Burnie, MD 21060
Phone (410) 766-5136

14113 Baltimore Ave
#A
Laurel, MD 20707
Phone (301) 498-9494

Interoperability endpoints

  • Direct secure messaging: meegan.chestnut.1@32632.direct.athenahealth.com
  • Direct secure messaging: meeganchestnut@cmpmd.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D072639 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

5450 Knoll North Dr
Ste 260
Columbia, MD 21045-2373

Mailing address

7500 Hanover Pkwy
Ste 105B
Greenbelt, MD 20770-2091
Phone (803) 429-9002

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2022.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1255513636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 HANOVER PKWY",
            "address_2": "STE 105B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702091",
            "telephone_number": "803-429-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 KNOLL NORTH DR",
            "address_2": "STE 260",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452373",
            "telephone_number": "410-964-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "MEEGAN",
        "middle_name": "CHRISTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D072639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.