Individual provider Active NPI

Adrian Alonso Feijoo, PAC

  • Physician Assistant
  • Hampstead, MD
National Provider Identifier
1578865044
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04409 Issued in MD
Practice address
4231 N Woods TRL
Hampstead, MD 21074-3128
Phone
(410) 374-9391
NPI assigned
Dec 3, 2010
Last updated
Dec 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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 C04409 MD Primary

Addresses

Primary practice location

4231 N Woods TRL
Hampstead, MD 21074-3128

Mailing address

4231 N Woods TRL
Hampstead, MD 21074-3128
Phone (410) 374-9391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120831000037 MD Practitioner - Physician Assistant 4789831439 Reassigns benefits to 3 organizations
I20130705000380 DC Practitioner - Physician Assistant 4789831439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

2114 Generals Hwy
Annapolis, MD 21401-7488
Phone (410) 224-6905

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6334 Cedar LN
Columbia, MD 21044-3898
Phone (410) 531-2487

6500 Baltimore National Pike
Catonsville, MD 21228-4200
Phone (410) 807-8067

7698 Dorchester Blvd
Hanover, MD 21076-1946
Phone (443) 755-9253

8125 Ritchie Hwy
Suite H
Pasadena, MD 21122-6925
Phone (410) 544-2075

8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Jul 16, 2012 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jul 16, 2012 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Carroll Urgent Care, LLC Past Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

4231 North Woods Trl
Hampstead, MD 21074
Phone (410) 374-9391

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

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, 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": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1578865044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 N WOODS TRL",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210743128",
            "telephone_number": "410-374-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 N WOODS TRL",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210743128",
            "telephone_number": "410-374-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIJOO",
        "first_name": "ADRIAN",
        "middle_name": "ALONSO",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, MD

Sources for this page

Verify at the official NPI Registry.