Anju Gurung
Individual provider Active NPI Physician Assistant · Boyds, MD
NPI 1306720388 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1306720388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 12723 Gorman Cir
Boyds, MD 20841-2023 - Phone
- (240) 401-3888
- NPI assigned
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frederick Health Medical Group LLC
Practice addresses (Care Compare)
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 566-4500
Hospital & facility affiliations
- Frederick Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260528001024 | MD | Practitioner - Physician Assistant | 3577033877 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MD | Yes |
Addresses
Primary practice location
12723 Gorman Cir
Boyds, MD 20841-2023
Mailing address
12723 Gorman Cir
Boyds, MD 20841-2023
Phone (240) 401-3888
Other providers in Boyds, MD
- Joan Furlani
- Ana-Alicia Garcia
- Jerilyn Kay Glass
- Gabrielle Liann Go
- Mackenzie Goodwyn
- Healthcare Professionals Medical Group, P.a.
- Healthcare Professionals Medical Group, P.a.
- Amy Huang
- Cheryl Ann Imperatore
- Ali Keshavarz
All providers in Boyds, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 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.