NPIMap

Organization Active NPI

Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
National Provider Identifier
1447976584
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UPMC WESTERN MARYLAND HEALTH SERVICES, LLC
Practice address
12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone
(240) 964-8921
NPI assigned
Oct 19, 2022
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Patricia Devlin
Title
Director
Phone
(412) 432-7469

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

12502 Willowbrook Rd
Cumberland, MD 21502-6491

Mailing address

PO Box 1671
Cumberland, MD 21501-1671
Phone (240) 964-7000

Other practice location 1

45 Hunt Club Dr
Ridgeley, WV 26753-7567
Phone (304) 726-4501

Other practice location 2

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-7000

Other practice location 3

625 Kent Ave
Cumberland, MD 21502-3794
Phone (301) 724-7117

Other practice location 4

1313 National Hwy
Cumberland, MD 21502-7618
Phone (240) 362-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216000041 MD Part B Supplier - Clinic/Group Practice 7113396011 Receives reassigned benefits from 344 practitioners
16 other NPIs on this enrollment
Practice locations: Westernport, MD; MC Henry, MD; Lavale, MD; Frostburg, MD; Cumberland, MD

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory

Locations

12502 Willowbrook Rd
Ste 680
Cumberland, MD 21502
Phone (240) 964-8921

Practitioners & affiliated clinicians

Practitioners 345

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.

View all 345

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1447976584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026491",
            "telephone_number": "240-964-8921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Hunt Club Dr",
            "address_purpose": "LOCATION",
            "city": "Ridgeley",
            "state": "WV",
            "postal_code": "267537567",
            "country_code": "US",
            "telephone_number": "304-726-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12500 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026393",
            "country_code": "US",
            "telephone_number": "240-964-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Kent Ave",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215023794",
            "country_code": "US",
            "telephone_number": "301-724-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1313 National Hwy",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215027618",
            "country_code": "US",
            "telephone_number": "240-362-0288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPMC WESTERN MARYLAND HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-432-7469"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.