Individual provider Active NPI

Emily Alaine Maru, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1578189650
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C08480 Issued in MD
Practice address
810 Bestgate Rd Ste 235
Annapolis, MD 21401-3656
Phone
(443) 231-1500
NPI assigned
Jun 24, 2020
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C08480 MD Primary

Addresses

Primary practice location

810 Bestgate Rd Ste 235
Annapolis, MD 21401-3656

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other practice location 1

15401 Ravenglass Ln
Upper Marlboro, MD 20774-8999
Phone (618) 406-8529

Other names 1

  • Emily Alaine Mormino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220818002721 VA Practitioner - Physician Assistant 7719376524 Reassigns benefits to 1 organization
I20220826002569 MD Practitioner - Physician Assistant 7719376524 Reassigns benefits to 2 organizations
I20221007002821 DC Practitioner - Physician Assistant 7719376524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140

3801 International Dr
Silver Spring, MD 20906-1550
Phone (301) 598-9171

6535 N Charles St
Suite 625
Baltimore, MD 21204-5835
Phone (410) 825-5454

950 Harry S Truman Dr N
FL 5
Largo, MD 20774-5477
Phone (301) 321-1122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C08480MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC CurrentSince Apr 19, 2023 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Sep 12, 2022 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Oct 1, 2023 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Apr 19, 2023 Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients

Locations

810 Bestgate Rd
Ste 235
Annapolis, MD 21401
Phone (443) 231-1500

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

Interoperability endpoints

  • Direct secure messaging: emaru928580@direct.umm.edu
  • Direct secure messaging: emilymaru@tsicua.allscriptsdirect.net

Organizations & group practices 10

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.

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1578189650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 235",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013656",
            "telephone_number": "443-231-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15401 Ravenglass Ln",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207748999",
            "country_code": "US",
            "telephone_number": "618-406-8529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARU",
        "first_name": "EMILY",
        "middle_name": "ALAINE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MORMINO",
            "middle_name": "ALAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.