Upper Chesapeake Orthopedics, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Bel Air, MD
NPI 1497625784 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1497625784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- UPPER CHESAPEAKE ORTHOPEDICS, LLC
- Practice address
- 515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5282 - Phone
- (443) 643-3130
- Fax
- (443) 643-3133
- NPI assigned
- Nov 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Marcus Thomas Augustus Priolo
- Title
- Chief Financial Officer
- Phone
- (443) 643-3344
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 10
Member of 1
Practitioners 11
-
Sumit Bassi, MD, MBA
-
William Cook IV, M.D.
-
Brian Charles De Muth, M.D.
-
Marielle Destefano, PA-C
-
Nicole E Green, PA-C
-
Edward G. O'Mara, MD
-
Jeanette Marie Rose, CRNP
-
Tori Siler, PA-C
-
Donghua Wang, PA-C
-
Raj Yalamanchili, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260109000740 | MD | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 4880879162 | Practice locations: Bel Air, MD |
National Provider Directory
- Tax ID family
- Upper Chesapeake Orthopedics LLC
Locations
515 S Tollgate Rd
Ste 200
Bel Air, MD 21014
Phone (443) 643-3130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5282
Mailing address
515 S Tollgate Rd Ste 200
Bel Air, MD 21014-5282
Phone (443) 643-3130
Other names
- Upper Chesapeake Orthopedic Specialty Group
Other providers in Bel Air, MD
- Upper Chesapeake Medical Services, Inc
- Upper Chesapeake Medical Services, Inc.
- Upper Chesapeake Medical Services, Inc.
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Orthopedics, LLC
- Upper Chesapeake Primary Care,LLC
- Upper Chesapeake Primary Care,LLC
All providers in Bel Air, MD · Durable Medical Equipment & Medical Supplies in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.