Individual provider Active NPI

Patrick Scott Comegys, PA

  • Physician Assistant
  • Glen Burnie, MD
National Provider Identifier
1336446798
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004396 Issued in MD
Practice address
1600 Crain Hwy S Ste 206
Glen Burnie, MD 21061-6438
Phone
(443) 808-1810
Fax
(443) 214-5356
NPI assigned
Feb 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004396 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S Ste 206
Glen Burnie, MD 21061-6438

Mailing address

1600 Crain Hwy S Ste 206
Glen Burnie, MD 21061-6438
Phone (443) 808-1810

Other practice location 1

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413
Phone (410) 768-5050

Other practice location 2

166 Defense Hwy Ste 300
Annapolis, MD 21401-8926
Phone (443) 808-1810

Other practice location 3

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413
Phone (410) 768-5050

Other identifiers 1

IdentifierTypeStateIssuer
922600100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110614000852 MD Practitioner - Physician Assistant 0345427647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 1, 2015 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 1, 2015 Accepting new patients
Medlantic Healthcare Group Past Accepting new patients

Locations

1521 Ritchie Hwy
Ste 201
Arnold, MD 21012
Phone (410) 349-9930

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1600 Crain Hwy S
Ste 401
Glen Burnie, MD 21061
Phone (410) 768-5050

Interoperability endpoints

  • Direct secure messaging: pcomegys139740@direct.umm.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1336446798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 206",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616438",
            "telephone_number": "443-808-1810",
            "fax_number": "443-214-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 206",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616438",
            "telephone_number": "443-808-1810",
            "fax_number": "443-214-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Crain Hwy S Ste 401",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616413",
            "country_code": "US",
            "telephone_number": "410-768-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Defense Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018926",
            "country_code": "US",
            "telephone_number": "443-808-1810",
            "fax_number": "443-214-5356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Crain Hwy S Ste 401",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616413",
            "country_code": "US",
            "telephone_number": "410-768-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMEGYS",
        "first_name": "PATRICK",
        "middle_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-22",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "922600100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.