Active NPI
Andrea Ceccarelli Cuniff, M.D.
- Family Medicine Physician
- Pasadena, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0068440
- Practice address
- 24 Magothy Beach Rd Ste a
Pasadena, MD 21122-4414 - Phone
- (410) 255-2700
- Fax
- (410) 437-1962
- NPI assigned
- Dec 5, 2007
- Last updated
- Jan 24, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | P20837 | MD | |
| Family Medicine Physician | 207Q00000X | D0068440 | MD | Primary |
Addresses
Primary practice location
24 Magothy Beach Rd Ste a
Pasadena, MD 21122-4414
Mailing address
1111 Benfield Blvd
Suite 200
Millersville, MD 21108-3002
Phone (410) 729-5100
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12753739 | Other | MD | MULTIPLAN/PHCS PROVIDER NUMBER |
| 418708300 | Medicaid | MD | |
| 6954391 | Other | MD | AETNA PPO |
| 7605-0106 | Other | MD | CAREFIRST BLUE CHOICE |
| 957078-04 | Other | MD | CAREFIRST- MD RENDERING |
| P18916 | Other | MD | CAREFIRST MPOS |
| 9385370 | Other | MD | AETNA HMO |
| P00794930 | Other | MD | RAILROAD MEDICARE |
| 226988 | Other | MD | JHHC PROVIDER NUMBER |
| 8246382 | Other | MD | MAMSI |
Other names 1
- Dr. Andrea Stephanie Ceccarelli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Maryland School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
129 Lubrano Dr
Suite 100
Annapolis, MD 21401-7566
Phone (410) 266-5852
1509 Ritchie Hwy
Arnold, MD 21012-2742
Phone (410) 757-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P20837 | MD | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Primary Care Physicians, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
129 Lubrano Dr
Ste 100
Annapolis, MD 21401
Phone (410) 266-5852
1509 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-1600
24 Magothy Beach Rd
Ste A
Pasadena, MD 21122
Phone (410) 255-2700
125 Shoreway Dr
Ste 120
Queenstown, MD 21658
Phone (410) 643-7800
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Annapolis, MD
- NPI 1083667067
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Baltimore, MD
- NPI 1669551321
-
dba CenterWell Home Health
- Home Health Agency
- Columbia, MD
- NPI 1922035880
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1467634196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 BENFIELD BLVD",
"address_2": "SUITE 200",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211083002",
"telephone_number": "410-729-5100",
"fax_number": "410-729-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MAGOTHY BEACH RD STE A",
"city": "PASADENA",
"state": "MD",
"postal_code": "211224414",
"telephone_number": "410-255-2700",
"fax_number": "410-437-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNIFF",
"first_name": "ANDREA",
"middle_name": "CECCARELLI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": "P20837",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0068440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN/PHCS PROVIDER NUMBER",
"identifier": "12753739",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "418708300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "6954391",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE CHOICE",
"identifier": "7605-0106",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST- MD RENDERING",
"identifier": "957078-04",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MPOS",
"identifier": "P18916",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "9385370",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00794930",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JHHC PROVIDER NUMBER",
"identifier": "226988",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "8246382",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "CECCARELLI",
"middle_name": "STEPHANIE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.