NPIMap

Organization Active NPI

Upper Chesapeake Emergency Medicine Physicians, LLC

  • Emergency Medicine Physician
  • Bel Air, MD
National Provider Identifier
1285854026
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
UPPER CHESAPEAKE EMERGENCY MEDICINE PHYSICIANS, LLC
Practice address
520 Upper Chesapeake Dr
Bel Air, MD 21014-4339
Phone
(240) 529-1457
Fax
(301) 631-1002
NPI assigned
Apr 26, 2007
Last updated
Jun 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Dr. Laura Pimentel, M.D.
Title
President/ Ceo
Phone
(667) 214-2062

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X NU

Addresses

Primary practice location

520 Upper Chesapeake Dr
Bel Air, MD 21014-4339

Mailing address

PO Box 412312
Boston, MA 02241-2312
Phone (855) 691-9890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927001103 MD Part B Supplier - Clinic/Group Practice 2860587342 Receives reassigned benefits from 150 practitioners
Practice locations: Queenstown, MD; Havre de Grace, MD; Easton, MD; Bel Air, MD; Cambridge, MD; Aberdeen, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 236

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 236

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1285854026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412312",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412312",
            "telephone_number": "855-691-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "240-529-1457",
            "fax_number": "301-631-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CHESAPEAKE EMERGENCY MEDICINE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "667-214-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.