Active NPI
Ethan A Urbansky, PAC
- Physician Assistant
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0010009
- Practice address
- 20410 Century Blvd
Medstar NRH Rehab Network - #215
Germantown, MD 20874-1186 - Phone
- (301) 540-6130
- Fax
- (301) 540-5190
- NPI assigned
- Sep 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0010009 | MD | Primary |
| Athletic Trainer | 2255A2300X | A0000250 | MD |
Addresses
Primary practice location
20410 Century Blvd
Medstar NRH Rehab Network - #215
Germantown, MD 20874-1186
Mailing address
74 Thomas Johnson Dr
Frederick, MD 21702-4501
Phone (301) 540-6130
Other practice location 1
74 Thomas Johnson Dr
Frederick, MD 21702-4501
Phone (301) 694-9033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 Medical Pkwy
Suite 409
Annapolis, MD 21401-3746
74 Thomas Johnson Dr
Frederick, MD 21702-4501
74 Thomas Johnson Dr
Frederick, MD 21702-5182
PO Box
Suite 778
Easton, MD 21601
Hospital & facility affiliations
- Frederick Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0000250 | MD | MD | Athletic Trainer |
| C0010009 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Sherman Kahan, MD, PA | Past | Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136
4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199
Interoperability endpoints
- eurbansky185843@direct.aahs.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Frederick, MD
- NPI 1801812987
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Hematology & Oncology Physician
- Annapolis, MD
- NPI 1215794128
-
- Surgery Physician
- Lanham, MD
- NPI 1619771755
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1457786139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 THOMAS JOHNSON DR",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024501",
"telephone_number": "301-540-6130",
"fax_number": "301-540-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20410 CENTURY BLVD",
"address_2": "MEDSTAR NRH REHAB NETWORK - #215",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741186",
"telephone_number": "301-540-6130",
"fax_number": "301-540-5190"
}
],
"practiceLocations": [
{
"address_1": "74 Thomas Johnson Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024501",
"country_code": "US",
"telephone_number": "301-694-9033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URBANSKY",
"first_name": "ETHAN",
"middle_name": "A",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-12",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0010009",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0000250",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.