Individual provider Active NPI

Amanda Maxine Alyndoh Mbi

  • Medical Physician Assistant
  • Odenton, MD
National Provider Identifier
1417547761
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2671 Rainy Spring CT
Odenton, MD 21113-3304
Phone
(443) 986-3253
NPI assigned
Jan 21, 2021
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

2671 Rainy Spring CT
Odenton, MD 21113-3304

Mailing address

2671 Rainy Spring CT
Odenton, MD 21113-3304
Phone (443) 986-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211101000205 MD Practitioner - Physician Assistant 9638567258 Reassigns benefits to 3 organizations
I20260417003397 DC Practitioner - Physician Assistant 9638567258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8087

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 581-1200

5601 Loch Raven Blvd Russel
Ste2
Baltimore, MD 21239-2945
Phone (443) 444-5600

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2022 Accepting new patients
Johns Hopkins University CurrentSince Aug 1, 2021 Accepting new patients
Johns Hopkins University CurrentSince Aug 1, 2021 Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Interoperability endpoints

  • Direct secure messaging: ambi424816@direct.hopkinsmedicine.org

Organizations & group practices 6

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1417547761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 RAINY SPRING CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133304",
            "telephone_number": "443-986-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 RAINY SPRING CT",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133304",
            "telephone_number": "443-986-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBI",
        "first_name": "AMANDA MAXINE",
        "middle_name": "ALYNDOH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

Verify at the official NPI Registry.