Individual provider Active NPI

Maka Siamashvili, MD, MBA, PA-C

  • Physician Assistant
  • Bel Air, MD
National Provider Identifier
1376364018
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
510 Upper Chesapeake Dr
Bel Air, MD 21014-4328
Phone
(443) 643-3200
NPI assigned
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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 Primary

Addresses

Primary practice location

510 Upper Chesapeake Dr
Bel Air, MD 21014-4328

Mailing address

3409 Tewkesbury Rd
Abingdon, MD 21009-1095
Phone (615) 715-9494

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
I20250611003641 MD Practitioner - Physician Assistant 0244740801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Chesapeake Endocrinology Associates, LLCGroup PAC ID 2466529011, 10 clinicians

Practice addresses (Care Compare)

2027 Pulaski Hwy
Suite 207
Havre de Grace, MD 21078-2147
Phone (443) 843-6130

520 Upper Chesapeake Dr
Suite 210
Bel Air, MD 21014-4392
Phone (443) 643-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Endocrinology Associates, LLC PastSince Aug 11, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: msiamashvili1064328@direct.umm.edu
  • Direct secure messaging: maka.siamashvili.1@22522.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1376364018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 TEWKESBURY RD",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091095",
            "telephone_number": "615-715-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144328",
            "telephone_number": "443-643-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAMASHVILI",
        "first_name": "MAKA",
        "credential": "MD, MBA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.