Individual provider Active NPI

Alfie Edward Mingo, M.D.

  • Emergency Medicine Physician
  • Lanham, MD
National Provider Identifier
1578508149
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0060545 Issued in MD
Practice address
8118 Good Luck Rd
Lanham, MD 20706-3595
Phone
(301) 552-8665
Fax
(301) 552-8665
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0060545 MD Primary
Emergency Medicine Physician 207P00000X 4301098748 MI

Addresses

Primary practice location

8118 Good Luck Rd
Lanham, MD 20706-3595

Mailing address

8118 Good Luck Rd
Lanham, MD 20706-3595
Phone (301) 552-8665

Other identifiers 1

IdentifierTypeStateIssuer
12142821OtherMICAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040329001181 MD Practitioner - Emergency Medicine 1355237801 Reassigns benefits to 2 organizations
I20110705000375 MI Practitioner - Emergency Medicine 1355237801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Physician Group LLC CurrentSince Oct 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
WHC Emerg Phys CurrentSince Oct 1, 2015 Accepting new patients
Emergency Professionals of Michigan, P.C. Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Osler Drive Emergency Physcians Associates, P.a. Emergency Medicine PastSince Apr 11, 2021 Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine Past Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Emergency Medicine Past Accepting new patients
Steven Remsen, MD PA Emergency Medicine Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1578508149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063595",
            "telephone_number": "301-552-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063595",
            "telephone_number": "301-552-8665",
            "fax_number": "301-552-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGO",
        "first_name": "ALFIE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0060545",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301098748",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12142821",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.