Individual provider Active NPI

Ella Mae Gayoso-Adam, M.D.

  • Obstetrics Physician
  • Hanover, MD
National Provider Identifier
1386717148
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
D0053717 Issued in MD
Practice address
7556 Teague Rd
Suite 430
Hanover, MD 21076-1213
Phone
(410) 553-8260
Fax
(410) 553-8261
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X D0053717 MD
Gynecology Physician 207VG0400X MD21610 DC
Obstetrics Physician 207VX0000X D0053717 MD Primary
Obstetrics Physician 207VX0000X MD21610 DC

Addresses

Primary practice location

7556 Teague Rd
Suite 430
Hanover, MD 21076-1213

Mailing address

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4594

Other identifiers 1

IdentifierTypeStateIssuer
409092600MedicaidMD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080319000642 MD Practitioner - Obstetrics/Gynecology 7012093867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

203 Hospital Dr
Suite 308
Glen Burnie, MD 21061-6906
Phone (410) 553-8260

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4000

313 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 761-1222

3708 Mountain Rd
Pasadena, MD 21122-2025
Phone (410) 553-2900

7556 Teague Rd
Hanover, MD 21076-1968

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21610DCMDGynecology Physician
D0053717MDMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Baltimore Washington Professional Services Inc. Past Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients
Arundel Physicians Associates, LLC Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

203 Hospital Dr
Ste 308
Glen Burnie, MD 21061
Phone (410) 553-8260

300 Hospital Dr
Ste 126
Glen Burnie, MD 21061
Phone (410) 787-4897

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

305 Hospital Dr
Ste 304
Glen Burnie, MD 21061
Phone (410) 266-2725

305 Hospital Dr
Lowr
Glen Burnie, MD 21061
Phone (410) 553-8359

7556 Teague Rd
Ste 430
Hanover, MD 21076
Phone (410) 553-8260

8601 Veterans Hwy
Ste 204
Millersville, MD 21108
Phone (410) 553-8092

3708 Mountain Rd
Ste A1
Pasadena, MD 21122
Phone (410) 317-8401

Interoperability endpoints

  • Direct secure messaging: egayosoadam11723@direct.umm.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1386717148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4594",
            "fax_number": "410-787-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 TEAGUE RD",
            "address_2": "SUITE 430",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761213",
            "telephone_number": "410-553-8260",
            "fax_number": "410-553-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYOSO-ADAM",
        "first_name": "ELLA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0053717",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "DC",
            "license": "MD21610",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MD",
            "license": "D0053717",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "DC",
            "license": "MD21610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409092600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

Verify at the official NPI Registry.