University of Maryland Community Medical Group, Inc.

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

Organization subpart

No

Name

Paul Stephen Nicholson, CPA

Title

Senior Vice President - Chief Finan

Phone

(410) 822-1000

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

• University of Maryland Community Medical Group, Inc.

  • Surgical Physician Assistant
  • Glen Burnie, MD
  • NPI 1295367894

  O20040102000687

  Same enrollment
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854

  O20040102000687

  Same enrollment

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

• Shore Health System Inc

  • Radiology Clinic/Center
  • Easton, MD
  • NPI 1699286401

  Member Of

  NPD member

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Archil Abashidze, MD

  • Psychiatry Physician
  • Glen Burnie, MD
  • NPI 1891717757

  MD

  Medicare reassignment Care Compare group NPD
• Lindsay Brooke Abbott, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1205264116

  MD

  Medicare reassignment Care Compare group NPD
• Mohammad Bassam Asad Abdallah, MBBS

  • Gastroenterology Physician
  • La Plata, MD
  • NPI 1598251282

  MD

  Medicare reassignment Care Compare group NPD
• Hamza M. Abdulla, M.D.

  • Gastroenterology Physician
  • Easton, MD
  • NPI 1437599529

  MD

  Medicare reassignment Care Compare group NPD
• Gbemisola Victoria Adebayo

  • Psychiatric/Mental Health Nurse Practitioner
  • La Plata, MD
  • NPI 1588244255

  MD

  Medicare reassignment Care Compare group NPD
• Souvonik Adhya, MD

  • Family Medicine Physician
  • Glen Burnie, MD
  • NPI 1114541448

  Family Medicine, MD

  Medicare reassignment Care Compare group NPD
• Kiranmayi Adimoolam, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Pasadena, MD
  • NPI 1851688931

  Family Medicine, MD

  Medicare reassignment Care Compare group NPD
• Raza Afzal

  • Internal Medicine Physician
  • Millersville, MD
  • NPI 1376679837

  MD

  Medicare reassignment Care Compare group NPD
• Monica Agarwal, M.D.

  • Family Medicine Physician
  • Glen Burnie, MD
  • NPI 1578850541

  Family Medicine, MD

  Medicare reassignment Care Compare group NPD
• Gurdeep Ahluwalia, M.D.

  • Neurology Physician
  • Annapolis, MD
  • NPI 1083818058

  MD

  Medicare reassignment Care Compare group NPD
• Gladys N Akanoh, CRNP-FAMILY

  • Family Nurse Practitioner
  • Millersville, MD
  • NPI 1881016921

  MD

  Medicare reassignment Care Compare group NPD
• Edidiong Akpan, MD

  • Family Medicine Physician
  • Hanover, MD
  • NPI 1437610896

  Family Medicine, MD

  Medicare reassignment Care Compare group NPD

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations (25 of 76)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2025.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSPECIFIED",
            "identifier": "KQ62",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Maryland Anesthesiology Associates P.a.
• University of Maryland Anesthesiology Associates, P.a.
• University of Maryland Anesthesiology Associates, P.a.
• University of Maryland Anesthesiology Associates, PA
• University of Maryland Anesthesiology Associates,P.a.
• University of Maryland Community Medical Group, Inc.
• University of Maryland Community Medical Group, Inc.
• University of Maryland Community Medical Group, Inc.
• University of Maryland Community Medical Group, Inc.
• University of Maryland Community Medical Group, Inc.

• All providers in Baltimore, MD
• Family Medicine Physician in Maryland

• 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.