NPIMap

Organization Active NPI

University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1477530624
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Practice address
821 N Eutaw St
Baltimore, MD 21201-4648
Phone
(443) 552-2900
NPI assigned
Dec 29, 2005
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Paul Stephen Nicholson, CPA
Title
Senior Vice President - Chief Finan
Phone
(410) 822-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

821 N Eutaw St
Baltimore, MD 21201-4648

Mailing address

900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Phone (443) 462-5245

Other practice location 1

900 Elkridge Landing Rd Fl 2
Linthicum, MD 21090-2924
Phone (443) 462-5245

Other practice location 2

203 Hospital Drive
Ste 308
Glen Burnie, MD 21061-6906
Phone (410) 553-8260

Other practice location 3

520 Kerr Ave
Denton, MD 21629-1343
Phone (410) 479-2130

Other practice location 4

1140 Blades Farm Rd
Denton, MD 21629-3488
Phone (410) 763-8787

Other practice location 5

511 Idlewild Ave Ste B
Easton, MD 21601-3888
Phone (410) 763-8787

Other practice location 6

300 Hospital Dr Ste 226
Glen Burnie, MD 21061-5707
Phone (410) 763-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040102000687 MD Part B Supplier - Clinic/Group Practice 3678472214 Receives reassigned benefits from 986 practitioners
2 other NPIs on this enrollment
O20260420001724 DC Part B Supplier - Clinic/Group Practice 3678472214 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 65)

301 Hos Dr
Boston, MA 02241

7556 Teague Rd
Ste 430
Boston, MA 02241

122 Defense Hwy
Ste 222
Annapolis, MD 21401
Phone (410) 553-8160

2300 Garrison Blvd
Ste 107
Baltimore, MD 21216
Phone (410) 202-3760

822 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8240

827 Linden Ave
Ste B
Baltimore, MD 21201
Phone (410) 225-8230

100 Bramble St
Ste 100
Cambridge, MD 21613
Phone (410) 228-4616

400 Byrn St
Apt B
Cambridge, MD 21613
Phone (410) 221-0448

400 Byrn St
Ste 310
Cambridge, MD 21613

404 Byrn St
Cambridge, MD 21613
Phone (410) 221-0448

715 Cambridge Marketplace Blvd
#1700
Cambridge, MD 21613

100 Brown St
Ste 101
Chestertown, MD 21620
Phone (410) 778-1878

100 Brown St
Ste 2300
Chestertown, MD 21620
Phone (410) 810-5670

100 Brown St
Ste 236
Chestertown, MD 21620

100 Brown St
Ste 320
Chestertown, MD 21620
Phone (410) 756-8598

126 Philosophers Ter
Ste 100
Chestertown, MD 21620
Phone (410) 778-7662

126 Philosophers Ter
Ste 103
Chestertown, MD 21620
Phone (410) 822-5571

126 Philosophers Ter
Ste 300
Chestertown, MD 21620

5800 Waterloo Rd
Ste 120
Columbia, MD 21045

838 S 5th Ave
Denton, MD 21629
Phone (410) 479-3510

842 S 5th Ave
Denton, MD 21629
Phone (410) 479-1771

912B Market St
Denton, MD 21629

219 S Washington St
Ste 259
Easton, MD 21601

401 Purdy St
Ste 203
Easton, MD 21601

403 Purdy St
Ste 204
Easton, MD 21601
Phone (410) 820-9117

Practitioners & affiliated clinicians

Practitioners 1,002

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 1,002

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1477530624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELKRIDGE LANDING RD FL 2",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902924",
            "telephone_number": "443-462-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014648",
            "telephone_number": "443-552-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Elkridge Landing Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Linthicum",
            "state": "MD",
            "postal_code": "210902924",
            "country_code": "US",
            "telephone_number": "443-462-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Hospital Drive",
            "address_2": "Ste 308",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210616906",
            "country_code": "US",
            "telephone_number": "410-553-8260",
            "fax_number": "410-553-8261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Kerr Ave",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "216291343",
            "country_code": "US",
            "telephone_number": "410-479-2130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 Blades Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "216293488",
            "country_code": "US",
            "telephone_number": "410-763-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Idlewild Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216013888",
            "country_code": "US",
            "telephone_number": "410-763-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Hospital Dr Ste 226",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615707",
            "country_code": "US",
            "telephone_number": "410-763-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT - CHIEF FINAN",
        "authorized_official_telephone_number": "410-822-1000",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.