NPIMap

Individual provider Active NPI

Glynis Moody, MD

  • Internal Medicine Physician
  • Dunkirk, MD
National Provider Identifier
1396897799
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D50233 Issued in MD
Practice address
10845 Town Center Blvd Ste 204
Dunkirk, MD 20754-2712
Phone
(410) 535-2005
Fax
(410) 535-4850
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D50233 MD Primary

Addresses

Primary practice location

10845 Town Center Blvd Ste 204
Dunkirk, MD 20754-2712

Mailing address

985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Other identifiers 7

IdentifierTypeStateIssuer
2384434OtherMDAETNA HMO PCP
54413801OtherMDCAREFIRST OF MARYLAND
7010013OtherMDAETNA NON-HMO
763260600MedicaidMD
8126360OtherMDMAMSI HMO
C0410031OtherDCCAREFIRST OF DC
P00161495OtherMDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000416 MD Practitioner - Internal Medicine 3173515624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calvert Internal Medicine Group, PAGroup PAC ID 1759371834, 40 clinicians

Practice addresses (Care Compare)

10845 Town Ctr Blvd
Suite 204
Dunkirk, MD 20754-2712
Phone (410) 535-2005

110 Hospital Rd
Suite 303
Prince Frederick, MD 20678-4044
Phone (410) 535-2005

14090 HG Trueman Rd
Suite 2500
Solomons, MD 20688-3151
Phone (410) 535-2005

985 Prince Frederick Blvd
Suite 201
Prince Frederick, MD 20678-3492
Phone (410) 535-2005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D50233MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Center LTD Internal Medicine Past Accepting new patients
Glenn G. Marinelli MD PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pratt Medical Center LTD Past Accepting new patients
University Care LLC Internal Medicine Past Accepting new patients
University Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gmoody@calvertinternalmedicine.medentdirect.com

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 8

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396897799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783492",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 TOWN CENTER BLVD STE 204",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542712",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "GLYNIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D50233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PCP",
            "identifier": "2384434",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "54413801",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "7010013",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763260600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI HMO",
            "identifier": "8126360",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "C0410031",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00161495",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

Verify at the official NPI Registry.