NPIMap

Organization Active NPI

Medpro Hospitalists LLP

  • Internal Medicine Physician
  • Cheverly, MD
National Provider Identifier
1346279262
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDPRO HOSPITALISTS LLP
Practice address
3001 Hospital Dr
Cheverly, MD 20785-1189
Phone
(301) 618-6011
Fax
(301) 618-3966
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Kelson Michael Figaro, M.D.NPI 1831128750
Title
President
Phone
(301) 618-6011

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3001 Hospital Dr
Cheverly, MD 20785-1189

Mailing address

12700 Goodloes Promise Dr
Bowie, MD 20720-4624
Phone (301) 805-4218

Other identifiers 5

IdentifierTypeStateIssuer
J443OtherDCCAREFIRST BLUE SHEILD
035540600MedicaidDC
494AMEOtherMDCAREFIRST BLUE SHEILD
393057OtherMDMAMSI LIFE & HEALTH
DB3137OtherMDRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040416001127 DC Part B Supplier - Clinic/Group Practice 2264427418 Receives reassigned benefits from 2 practitioners
Practice locations: Upper Marlboro, MD
O20040526000810 MD Part B Supplier - Clinic/Group Practice 2264427418 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

12150 Annapolis Rd
Ste 200
Glenn Dale, MD 20769
Phone (202) 706-7603

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1346279262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 GOODLOES PROMISE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204624",
            "telephone_number": "301-805-4218",
            "fax_number": "301-805-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-6011",
            "fax_number": "301-618-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO HOSPITALISTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "FIGARO",
        "authorized_official_first_name": "KELSON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-618-6011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHEILD",
            "identifier": "J443",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035540600",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHEILD",
            "identifier": "494AME",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE & HEALTH",
            "identifier": "393057",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DB3137",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.