Edidiong Akpan, MD
Individual provider Active NPI Family Medicine Physician · Hanover, MD
NPI 1437610896 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1437610896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D95083 (MD)
- Practice address
- 7556 Teague Rd Ste 450
Hanover, MD 21076-1968 - Phone
- (410) 553-8265
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Maryland Community Medical Group Inc
Practice addresses (Care Compare)
7556 Teague Rd
Suite 450
Hanover, MD 21076-1968
Phone (410) 553-2900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220919001161 | MD | Practitioner - Family Practice | 8628402104 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D95083 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Family Medicine | Current |
Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
7556 Teague Rd
Ste 450
Hanover, MD 21076
Phone (410) 553-2900
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
Interoperability endpoints
- eakpan926544@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D95083 | MD | Yes |
Addresses
Primary practice location
7556 Teague Rd Ste 450
Hanover, MD 21076-1968
Mailing address
Henry Ford Hospital, Medical Education Department
2799 W. Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 874-5378
Other practice location 1
Henry Ford Hospital, Medical Education Department
2799 W. Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 874-5378
Other providers in Hanover, MD
- Cynthia Chizoba Aguoru
- Nneka Aisida
- Oluwatimilehin Ajulo
- Adejumoke A Akinbobola
- Monisola Bolanle Akintunde
- John Alexander
- Atina Allamarvdasht
- Joshua Logan Alley
- Alpine Behavioral Health, LLC
- Judeline Altema
All providers in Hanover, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.