Individual provider Active NPI

Frederick H. Guckes, M.D.

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
National Provider Identifier
1477556173
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0052857 Issued in MD
Practice address
2000 Medical Pkwy
Ste 304
Annapolis, MD 21401-3745
Phone
(410) 573-9530
Fax
(410) 573-9569
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X D0052857 MD
Obstetrics & Gynecology Physician 207V00000X D0052857 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy
Ste 304
Annapolis, MD 21401-3745

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (672) 047-2126

Other practice location 1

2000 Medical Pkwy Ste 309
Annapolis, MD 21401-3745
Phone (410) 224-1133

Other practice location 2

2401 Brandermill Blvd Ste 350
Gambrills, MD 21054-1617
Phone (410) 573-9530

Other practice location 3

1630 Main St Ste 211
Chester, MD 21619-2793
Phone (410) 573-9530

Other practice location 4

18 Magothy Beach Rd Ste A
Pasadena, MD 21122-4477
Phone (410) 573-9530

Other identifiers 4

IdentifierTypeStateIssuer
169821Y5ZOtherMDMEDICARE
169821ZDWSOtherMDMEDICARE
CY310003OtherMDBCBS
324562401MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000552 MD Practitioner - Obstetrics/Gynecology 6204817299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Eastern Virginia Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

1630 Main St
Suite 211
Chester, MD 21619-2793
Phone (410) 573-9530

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0052857MDMDCritical Care Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2017 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2003 Medical Pkwy
Ste 210
Annapolis, MD 21401
Phone (410) 573-5300

2000 Medical Pkwy
Ste 304
Annapolis, MD 21401
Phone (410) 573-9530

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2000 Medical Pkwy
Ste 309
Annapolis, MD 21401
Phone (410) 224-1133

2003 Medical Pkwy
Ste 304
Annapolis, MD 21401

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

1630 Main St
Ste 211
Chester, MD 21619
Phone (410) 573-9530

2401 Brandermill Blvd
Ste 350
Gambrills, MD 21054
Phone (410) 573-9530

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1477556173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "672-047-2126",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "STE 304",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013745",
            "telephone_number": "410-573-9530",
            "fax_number": "410-573-9569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Medical Pkwy Ste 309",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013745",
            "country_code": "US",
            "telephone_number": "410-224-1133",
            "fax_number": "410-266-1639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Brandermill Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210541617",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Main St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192793",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-207-7229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Magothy Beach Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211224477",
            "country_code": "US",
            "telephone_number": "410-573-9530",
            "fax_number": "667-204-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUCKES",
        "first_name": "FREDERICK",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "MD",
            "license": "D0052857",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0052857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "169821Y5Z",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "169821ZDWS",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CY310003",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324562401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.