Annapolis Rheumatology LLC

Organization Active NPI Rheumatology Physician · Pasadena, MD

NPI 1528949385 · NPPES record last updated Sep 9, 2025

Key facts

NPI
1528949385
Entity type
Organization (NPI type 2)
Primary specialty
Rheumatology Physician 207RR0500X
Legal business name
ANNAPOLIS RHEUMATOLOGY LLC
Practice address
18 Magothy Beach Rd Ste B
Pasadena, MD 21122-4477
Phone
(410) 897-1941
NPI assigned
Sep 9, 2025
Organization subpart
Yes
Parent organization (as reported)
ANNAPOLIS RHEUMATOLOGY LLC

Authorized official

Name
Ashok Cherian Jacob
Title
President
Phone
(301) 367-3235

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

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

National Provider Directory

Tax ID family
Annapolis Rheumatology LLC (3 organizations share this tax ID)
Part of
Annapolis Rheumatology LLC

Locations

18 Magothy Beach Rd
Ste B
Pasadena, MD 21122

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RR0500X Yes

Addresses

Primary practice location

18 Magothy Beach Rd Ste B
Pasadena, MD 21122-4477

Mailing address

166 Defense Hwy Ste 200
Annapolis, MD 21401-8922
Phone (410) 897-1941

Other providers in Pasadena, MD

All providers in Pasadena, MD · Rheumatology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.