Active NPI
Mdics at Meritus Medical Center, LLC
- Hospitalist Physician
- Hagerstown, MD
National Provider Identifier
1306258645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- MDICS AT MERITUS MEDICAL CENTER, LLC
- Practice address
- 11116 Medical Campus Rd
Hagerstown, MD 21742-6710 - Phone
- (443) 949-0814
- Fax
- (443) 949-0825
- NPI assigned
- May 21, 2014
- Last updated
- Aug 9, 2022
- Organization subpart
- Yes
- Parent organization
- MARYLAND INPATIENT CARE SPECIALISTS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Delbrugge
- Title
- Cfo
- Phone
- (301) 693-8707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Mailing address
PO Box 69231
Baltimore, MD 21264-9231
Phone (443) 949-0814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Adfinitas Health LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1255417200
Practitioners & affiliated clinicians
Practitioners 114
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.
-
- Internal Medicine Physician
- Hyattsville, MD
- NPI 1255649695
Hospitalist
-
- Hospitalist Physician
- Hagerstown, MD
- NPI 1477865814
-
- Acute Care Nurse Practitioner
- Glen Burnie, MD
- NPI 1497148530
-
- Internal Medicine Physician
- Westminster, MD
- NPI 1871571554
-
- Internal Medicine Physician
- Cheverly, MD
- NPI 1205221223
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1073534319
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1124210026
-
- Family Medicine Physician
- Hagerstown, MD
- NPI 1841582335
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1669446548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1306258645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69231",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649231",
"telephone_number": "443-949-0814",
"fax_number": "443-292-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710",
"telephone_number": "443-949-0814",
"fax_number": "443-949-0825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDICS AT MERITUS MEDICAL CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARYLAND INPATIENT CARE SPECIALISTS, LLC",
"enumeration_date": "2014-05-21",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "DELBRUGGE",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "301-693-8707"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
- Wayne A McWilliams, M.D.
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- MD Transportation LLC
- MD-SG Dental, LLC (Aspen Dental)
- Mdics Rehabilitative Services - Ltcaco LLC
- Mdics Rehabilitative Services LLC
- Mdics Rehabilitative Services LLC
- Meadow Dialysis Facility, Inc.
- Meadow Dialysis Facility, Inc. (Robinwood Dialysis Facility)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.