NPIMap

Organization Active NPI

Seasons Medical Group of Maryland PC

Doing business as AccentCare Medical Group of Maryland

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Columbia, MD
National Provider Identifier
1376894931
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
SEASONS MEDICAL GROUP OF MARYLAND PC
Doing business as
AccentCare Medical Group of Maryland
Practice address
5457 Twin Knolls Rd
Ste 100
Columbia, MD 21045-3259
Phone
(888) 523-6000
NPI assigned
Sep 24, 2012
Last updated
Jan 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Carrie Bill
Title
Finance Director
Phone
(847) 692-1148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NU Primary

Addresses

Primary practice location

5457 Twin Knolls Rd
Ste 100
Columbia, MD 21045-3259

Mailing address

6400 Shafer CT Ste 300a
Rosemont, IL 60018-4914

Other names 1

  • AccentCare Medical Group of Maryland Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121214000041 MD Part B Supplier - Clinic/Group Practice 9638321862 Receives reassigned benefits from 38 practitioners
Practice locations: Columbia, MD
O20171218000040 DC Part B Supplier - Clinic/Group Practice 9638321862 Receives reassigned benefits from 20 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

6934 Aviation Blvd
Ste Nr
Glen Burnie, MD 21061
Phone (410) 689-7400

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1376894931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT STE 300A",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD",
            "address_2": "STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453259",
            "telephone_number": "888-523-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS MEDICAL GROUP OF MARYLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BILL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "847-692-1148"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccentCare Medical Group of Maryland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.