NPIMap

Organization Active NPI

Maryland Physicians Associates

  • Neurology Physician
  • Baltimore, MD
National Provider Identifier
1407970601
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MARYLAND PHYSICIANS ASSOCIATES
Practice address
6615 Reisterstown Rd
Suite 205a
Baltimore, MD 21215-2686
Phone
(410) 486-2298
Fax
(410) 358-6551
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Melencio Ventura, M.D.
Title
Medical Director
Phone
(410) 486-2298

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

6615 Reisterstown Rd
Suite 205a
Baltimore, MD 21215-2686

Mailing address

6615 Reisterstown Rd
Suite 205a
Baltimore, MD 21215-2686
Phone (410) 486-2298

Other identifiers 7

IdentifierTypeStateIssuer
1568545432OtherMDNAZEMI, NPI
36713002MedicaidMD
1992852933OtherMDKOZACHUK NPI
1952406043OtherMDGARIN NPI
1265538623OtherMDVENTURA NPI
1619073111OtherMDMOLFINO NPI
W4920000OtherMDBCHOICE MD VENTURA

National Provider Directory

National Provider Directory

Locations

6615 Reisterstown Rd
Ste 205A
Baltimore, MD 21215
Phone (410) 486-2298

2670 Crain Hwy
Ste 402
Waldorf, MD 20601
Phone (301) 396-4105

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1407970601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD",
            "address_2": "SUITE 205A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "410-486-2298",
            "fax_number": "410-358-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD",
            "address_2": "SUITE 205A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152686",
            "telephone_number": "410-486-2298",
            "fax_number": "410-358-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND PHYSICIANS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VENTURA",
        "authorized_official_first_name": "MELENCIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-486-2298",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAZEMI, NPI",
            "identifier": "1568545432",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36713002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KOZACHUK NPI",
            "identifier": "1992852933",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GARIN NPI",
            "identifier": "1952406043",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENTURA NPI",
            "identifier": "1265538623",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLFINO NPI",
            "identifier": "1619073111",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHOICE MD VENTURA",
            "identifier": "W4920000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.