Organization Active NPI

Annapolis Nephrology Associates

  • Nephrology Physician
  • Annapolis, MD
National Provider Identifier
1356982599
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ANNAPOLIS NEPHROLOGY ASSOCIATES
Practice address
104 Forbes St Ste 102
Annapolis, MD 21401-1543
Phone
(410) 571-8333
Fax
(410) 571-8338
NPI assigned
Sep 30, 2019
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Patricia Patterson, RN
Title
Office Manager
Phone
(410) 571-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

104 Forbes St Ste 102
Annapolis, MD 21401-1543

Mailing address

104 Forbes St Ste 102
Annapolis, MD 21401-1543
Phone (410) 571-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200123000134 MD Part B Supplier - Clinic/Group Practice 4789918251 Receives reassigned benefits from 1 practitioner
Practice locations: Annapolis, MD
O20200501000047 DC Part B Supplier - Clinic/Group Practice 4789918251 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

104 Forbes St
Ste 102
Annapolis, MD 21401
Phone (410) 571-8333

304 Harry S Truman Pkwy
#1730
Annapolis, MD 21401

4861 Tesla Dr
Ste H
Bowie, MD 20715
Phone (301) 809-5342

1360 Blair Dr
Ste L
Odenton, MD 21113
Phone (410) 674-3918

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8068/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1356982599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FORBES ST STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011543",
            "telephone_number": "410-571-8333",
            "fax_number": "410-571-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FORBES ST STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011543",
            "telephone_number": "410-571-8333",
            "fax_number": "410-571-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-571-8333",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.