Hospitalist Medicine Physicians of Maryland PC
Organization Active NPI Internal Medicine Physician · Frederick, MD
NPI 1306644190 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1306644190
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND PC
- Practice address
- 1920 Rosemont Ave
Frederick, MD 21702-8249 - Phone
- (240) 772-9200
- NPI assigned
- Mar 6, 2025
- Organization subpart
- No
Authorized official
- Name
- Laura Fall
- Title
- Payer Enrollment Manager
- Phone
- (253) 682-6040
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 4
Practitioners 10
-
April Ann Burke, PA-C
-
Mesfin T Frew, P.A
-
Yelena Ibadova, PA-C
-
Sarah Taylor Lincoln, PA-C
-
Ronald Bruce Reisler, M.D.
-
Zorina Michelle Thomas, PA-C
-
Kedija Hayato Hedara, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120223000194 | MD | Part B Supplier - Clinic/Group Practice | 8729138003 |
Receives reassigned benefits from 294 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Westminster, MD; Walkersville, MD; Rosedale, MD; Glen Burnie, MD; Frederick, MD; Baltimore, MD; Forest Hill, MD; Cumberland, MD |
National Provider Directory
- Tax ID family
- Hospitalist Medicine Physicians of Maryland PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1920 Rosemont Ave
Frederick, MD 21702-8249
Mailing address
120 Brentwood Commons Way
Brentwood, TN 37027-2023
Phone (253) 682-6040
Other providers in Frederick, MD
- Katherine A Horner
- Elizabeth Mary Horrigan
- Steven Horton
- Tatum Horton
- Maria Paula Hoseit
- Hospitalist Medicine Physicians of Maryland PC
- Hospitalist Medicine Physicians of Maryland PC
- Hospitalist Medicine Physicians of Maryland PC
- Hospitalist Medicine Physicians of Maryland-Frederick PC
- Hospitalist Medicine Physicians of Maryland-Laurel PC
All providers in Frederick, MD · Internal Medicine 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 Mar 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.