Individual provider Active NPI

Malcolm K Moses-Hampton, MD

  • Physical Medicine & Rehabilitation Physician
  • Elkton, MD
National Provider Identifier
1336634997
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0096591 Issued in MD
Practice address
101 Chesapeake Blvd Ste C
Elkton, MD 21921-6607
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125.073333 IL
Physical Medicine & Rehabilitation Physician 208100000X D0096591 MD Primary

Addresses

Primary practice location

101 Chesapeake Blvd Ste C
Elkton, MD 21921-6607

Mailing address

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone (412) 647-5815

Other practice location 1

1725 W Harrison St Ste 118
Chicago, IL 60612-3817
Phone (312) 942-6644

Other practice location 2

3471 5th Ave Ste 402
Pittsburgh, PA 15213-3221
Phone (412) 692-4528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230320001550 MD Practitioner - Physical Medicine and Rehabilitation 7517215775 Reassigns benefits to 1 organization
I20230320001726 DC Practitioner - Physical Medicine and Rehabilitation 7517215775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Chesapeake Blvd
Suite C
Elkton, MD 21921-6607
Phone (855) 527-7246

19801 Observation Dr
Germantown, MD 20876-4070
Phone (443) 693-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0096591MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Mar 3, 2023 Accepting new patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Mar 3, 2023 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

201 Defense Hwy
Ste 260
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

4660 Wilkens Ave
Ste 302
Baltimore, MD 21229
Phone (301) 644-5113

4660 Wilkens Ave
Ste AND208
Baltimore, MD 21229

101 Chesapeake Blvd
Ste C
Elkton, MD 21921
Phone (302) 369-1700

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

Interoperability endpoints

  • Direct secure messaging: malcolm.moses-hampton.1@11679.direct.athenahealth.com

Organizations & group practices 3

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1336634997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410",
            "telephone_number": "412-647-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD STE C",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216607",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 W Harrison St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123817",
            "country_code": "US",
            "telephone_number": "312-942-6644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3471 5th Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133221",
            "country_code": "US",
            "telephone_number": "412-692-4528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES-HAMPTON",
        "first_name": "MALCOLM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125.073333",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0096591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.