Individual provider Active NPI

Augusto Paredes Ubillus, FNP-C

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1285288282
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001232184 Issued in VA
Practice address
110 Baughmans LN Ste 140
Frederick, MD 21702-4649
Phone
(240) 215-1138
NPI assigned
Jul 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0001232184 VA Primary

Addresses

Primary practice location

110 Baughmans LN Ste 140
Frederick, MD 21702-4649

Mailing address

110 Baughmans LN Ste 140
Frederick, MD 21702-4649
Phone (240) 215-1138

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191014000412 MD Practitioner - Nurse Practitioner 7719218312 Reassigns benefits to 3 organizations
I20200812000665 DC Practitioner - Nurse Practitioner 7719218312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2730 University Blvd W
Suite 410
Wheaton, MD 20902-1972
Phone (240) 669-6330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001232184VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC Current Accepting new patients
Right Care Medicine LLC CurrentSince Aug 15, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Aug 21, 2019 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 22, 2023 Accepting new patients
Privia Care Center LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 21, 2019 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Oct 22, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 21, 2019 Accepting new patients
Right Care Pediatrics Inc CurrentSince Aug 15, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

2730 University Blvd W
Ste 410
Wheaton, MD 20902
Phone (240) 669-6330

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1285288282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN STE 140",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024649",
            "telephone_number": "240-215-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAUGHMANS LN STE 140",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024649",
            "telephone_number": "240-215-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES UBILLUS",
        "first_name": "AUGUSTO",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001232184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.