Individual provider Active NPI

Emily Ulmer, M.D.

  • Family Medicine Physician
  • Annapolis, MD
National Provider Identifier
1568409258
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0026199 Issued in MD
Practice address
2000 Medical Parkway
Suite 605
Annapolis, MD 21401-8943
Phone
(410) 266-5667
Fax
(410) 266-9332
NPI assigned
Jun 1, 2006
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0026199 MD Primary

Addresses

Primary practice location

2000 Medical Parkway
Suite 605
Annapolis, MD 21401-8943

Mailing address

PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6460

Other identifiers 4

IdentifierTypeStateIssuer
380101200MedicaidMD
Y9100001OtherBCBS
Q6210001OtherBCBS DC
42210910OtherBCBS MD

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
I20090714000551 MD Practitioner - Family Practice 2365594850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0026199MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2012 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Potomac Physicians PA Family Medicine Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 605
Annapolis, MD 21401
Phone (410) 266-5667

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

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

6400 Marlboro Pike
Forestville, MD 20747
Phone (301) 736-6900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1568409258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017",
            "telephone_number": "443-481-6460",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PARKWAY",
            "address_2": "SUITE 605",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018943",
            "telephone_number": "410-266-5667",
            "fax_number": "410-266-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0026199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380101200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y9100001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "Q6210001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "42210910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.