Individual provider Active NPI

Cayla Kubilus

  • Family Nurse Practitioner
  • Severna Park, MD
National Provider Identifier
1629535026
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R211496 Issued in MD
Practice address
579 Baltimore Annapolis Blvd
Severna Park, MD 21146-3809
Phone
(410) 975-5447
NPI assigned
Feb 22, 2019
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R211496 MD Primary

Addresses

Primary practice location

579 Baltimore Annapolis Blvd
Severna Park, MD 21146-3809

Mailing address

8311 Telegraph Rd Apt 337
Odenton, MD 21113-1383
Phone (410) 952-7047

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401000451 MD Practitioner - Nurse Practitioner 6406197417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1417 Madison Park Dr
Glen Burnie, MD 21061-5613
Phone (410) 768-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 21, 2020 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Privia Care Center LLC CurrentSince Jan 1, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 4, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 4, 2025 Accepting new patients
Privia Care Center LLC CurrentSince Jan 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 21, 2020 Accepting new patients
University of Maryland Baltimore Washington Heart Associates LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

1417 Madison Park Dr
Glen Burnie, MD 21061
Phone (410) 768-6600

255 Hospital Dr
Fl 3
Glen Burnie, MD 21061
Phone (410) 553-8240

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7845 Oakwood Rd
Ste 106
Glen Burnie, MD 21061
Phone (410) 760-5100

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

920 Elkridge Landing Rd
Fl 4
Linthicum Heights, MD 21090
Phone (443) 462-5010

Interoperability endpoints

  • Direct secure messaging: ckappauf104480@direct.umm.edu

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1629535026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 TELEGRAPH RD APT 337",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131383",
            "telephone_number": "410-952-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 BALTIMORE ANNAPOLIS BLVD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463809",
            "telephone_number": "410-975-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBILUS",
        "first_name": "CAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R211496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.