Organization Active NPI

Anna B McCall MD LLC

  • Primary Care Clinic/Center
  • Bowie, MD
National Provider Identifier
1306576434
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ANNA B MCCALL MD LLC
Practice address
4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135
Phone
(017) 588-9293
NPI assigned
Jun 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Dr. Anna B. McCall, MDNPI 1306092135
Title
Physician
Phone
(301) 850-2069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135

Mailing address

4000 Mitchellville Rd Ste A308
Bowie, MD 20716-3135
Phone (301) 850-2069

Other practice location 1

1438 Defense Hwy Ste 201
Gambrills, MD 21054-2021
Phone (410) 721-3200

Other identifiers 1

IdentifierTypeStateIssuer
355028100MedicaidMD

Other names 1

  • HEAL THYSELF LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230327002848 DC Part B Supplier - Clinic/Group Practice 8325412638 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2277112Heal Thyself LLC4000 Mitchellville Rd A308, Bowie, MD 20716Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1306576434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A308",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163135",
            "telephone_number": "301-850-2069",
            "fax_number": "301-893-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A308",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163135",
            "telephone_number": "017-588-9293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 Defense Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210542021",
            "country_code": "US",
            "telephone_number": "410-721-3200",
            "fax_number": "301-238-7962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANNA B MCCALL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-850-2069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355028100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAL THYSELF LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.