Bianca Udugampola, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D67750 Issued in MD

Practice address

1562 Opossumtown Pike
Frederick, MD 21702

Phone

(301) 662-8119

Fax

(240) 439-8910

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

West Virginia University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians

Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Frederick Health Medical Group LLCGroup PAC ID 9931341096, 200 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Home Care Home health agency, Frederick, MD, CCN 217034
• Home Call Home health agency, Frederick, MD, CCN 217040
• Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158
• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
• Homewood Living Frederick Nursing home, Frederick, MD, CCN 215245

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Frederick Health Medical Group LLC

  dba Frederick Health Medical Group

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1619258225

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Amber Hill Physical Therapy, Inc.

  • Physical Therapist
  • Frederick, MD
  • NPI 1548290224
  Care Compare group
• Frederick Health Medical Group LLC

  • Family Medicine Physician
  • Mount Airy, MD
  • NPI 1114771862
  NPD
• Frederick Health Medical Group LLC

  dba Frederick Health Medical Group

  • Orthopaedic Surgery Physician
  • Frederick, MD
  • NPI 1790053361
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Inpatient Consultants of Missouri Inc

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1194779579
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Gaithersburg, MD
  • NPI 1902149891
  Care Compare affiliation
• Frederick Health Hospital Inc

  dba Frederick Health Home Care

  • Home Health Agency
  • Frederick, MD
  • NPI 1306842174
  Care Compare affiliation
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  Care Compare affiliation
• Homecall, LLC

  dba HomeCall

  • Home Health Agency
  • Frederick, MD
  • NPI 1790870350
  Care Compare affiliation
• Homewood Living Frederick, Inc.

  • Skilled Nursing Facility
  • Frederick, MD
  • NPI 1184620395

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1609076108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "240-439-8913",
            "fax_number": "240-439-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-662-8119",
            "fax_number": "240-439-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014541",
            "country_code": "US",
            "telephone_number": "301-662-8119",
            "fax_number": "301-696-0985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014541",
            "country_code": "US",
            "telephone_number": "301-662-8119",
            "fax_number": "301-696-0985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDUGAMPOLA",
        "first_name": "BIANCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D67750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iasia Tyre, LCSWC
• U.N.I. Medical Care, Inc (U.N.I. Urgent Care)
• Lizette Ubides, LCSW-C
• Itsuko Jamie Udaka, PHD
• Michael Ugochukwu Udeagwu
• Chinyere Ugwanyi, CRNP, PMHNP
• Heather Uhlenhopp, MSW
• Lauren Ulander
• Nicole Ulla
• Patricia Jean Ullman, LGPC

• Internal Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.