Jordan Elliot Angell, MD
Individual provider Active NPI Urology Physician · Westminster, MD
NPI 1306021076 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1306021076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- D0075473 (MD)
- Practice address
- 410 Malcolm Dr
Suite a
Westminster, MD 21157-6160 - Phone
- (410) 876-1633
- Fax
- (410) 840-2100
- NPI assigned
- Dec 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chesapeake Urology Associates LLC
Practice addresses (Care Compare)
410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-1633
Hospital & facility affiliations
- Carroll Hospital Center
- Upmc Hanover
- Gettysburg Hospital
- Frederick Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 14 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130605000666 | MD | Practitioner - Urology | 3072769066 | Reassigns benefits to 1 organization |
| I20230417002752 | DC | Practitioner - Urology | 3072769066 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0075473 | MD | MD | Urology Physician |
| 35098754 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Urology Associates LLC | Urology | Current |
Accepting new patients |
| Chesapeake Urology Associates, LLC | Urology | Current |
Accepting new patients |
| Chesapeake Urology Associates, LLC | Current | Accepting new patients | |
| Chesapeake Urology Associates, LLC | Urology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3407 Wilkens Ave
Ste 200
Baltimore, MD 21229
Phone (410) 644-0929
19851 Observation Dr
Ste 445
Germantown, MD 20876
Phone (301) 258-1919
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140
3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
Interoperability endpoints
- jordanangell@tsicua.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35098754 | OH | |
| Urology Physician | 208800000X | D0075473 | MD | Yes |
Addresses
Primary practice location
410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Mailing address
25 Crossroads Dr
Suite 306
Owings Mills, MD 21117-5421
Phone (443) 738-2872
Other practice location 1
3407 Wilkens Ave Ste 200
Baltimore, MD 21229-5221
Phone (410) 644-0929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065081 | Medicaid | OH | |
| 3362132 00 | Medicaid | MD |
Other providers in Westminster, MD
- Harold K Andersen
- Anesthesia Company, LLC
- Anesthesia Connections-Virginia, LLC
- Shaun Angadi
- Angela Greene, LLC
- Shawn Allen Anglemyer
- Uchenna Sabastine Ani
- Anitha N Rangarajan
- Annapolis ENT Surgical Center LLC
- Annapolis ENT Surgical Center LLC
All providers in Westminster, MD · Urology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.