Individual provider Active NPI

Nicole Alyssa Rowe, M.D.

  • Family Medicine Physician
  • Glen Burnie, MD
National Provider Identifier
1396060216
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0102517 Issued in MD
Practice address
203 Hospital Dr Ste 200
Glen Burnie, MD 21061-6905
Phone
(410) 553-8362
NPI assigned
Apr 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0102517 MD Primary
Family Medicine Physician 207Q00000X 50656 CO

Addresses

Primary practice location

203 Hospital Dr Ste 200
Glen Burnie, MD 21061-6905

Mailing address

203 Hospital Dr Ste 200
Glen Burnie, MD 21061-6905

Other names 1

  • Nicole Alyssa Mah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131115000615 CO Practitioner - Family Practice 6901055243
I20251001001064 MD Practitioner - Family Practice 6901055243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

203 Hospital Dr
Suite 200
Glen Burnie, MD 21061-6905
Phone (410) 553-8079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50656COMDFamily Medicine Physician
D0102517MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA Single Specialty Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

203 Hospital Dr
Ste 200
Glen Burnie, MD 21061
Phone (410) 553-8362

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

Interoperability endpoints

  • Direct secure messaging: nrowe1285284@direct.umm.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1396060216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR STE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR STE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616905",
            "telephone_number": "410-553-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "NICOLE",
        "middle_name": "ALYSSA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0102517",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MAH",
            "middle_name": "ALYSSA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.