NPIMap

Organization Active NPI

University of Maryland Medical Center, LLC

Doing business as UMMC Methadone Treatment Program

  • Methadone Clinic
  • Baltimore, MD
National Provider Identifier
1407177447
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC
Doing business as
UMMC Methadone Treatment Program
Practice address
1001 W Pratt St
Baltimore, MD 21223-2679
Phone
(717) 428-0552
NPI assigned
Jun 14, 2010
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
George Sprinkel
Title
Cfo
Phone
(410) 328-1501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 100083 MD
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

1001 W Pratt St
Baltimore, MD 21223-2679

Mailing address

PO Box 62498
Baltimore, MD 21264-2498
Phone (717) 428-0552

Other identifiers 1

IdentifierTypeStateIssuer
422022600MedicaidMD

Other names 1

  • UMMC Methadone Treatment Program Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Opioid treatment program
Medicare-enrolled since Feb 1, 2024

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240115000221 MD Part B Supplier - Opioid Treatment Program (Otp) 7113379256 Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2002973Ummc - Methadone Treatment Program1001 West Pratt St, Baltimore, MD 21223Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
University of Maryland Medical Center17 organizations share this tax ID, including this one
Part of
Umms Walter P Carter CL

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1407177447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62498",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642498",
            "telephone_number": "717-428-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232679",
            "telephone_number": "717-428-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION",
        "enumeration_date": "2010-06-14",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "SPRINKEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-328-1501"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "100083",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422022600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMMC Methadone Treatment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.