Active NPI
Mahmudul Haque, M.D.
- Nephrology Physician
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- D0079838
- Practice address
- 6934 Aviation Blvd Ste F
Glen Burnie, MD 21061-2593 - Phone
- (410) 760-3588
- Fax
- (410) 760-3604
- NPI assigned
- Apr 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | D0079838 | MD | Primary |
Addresses
Primary practice location
6934 Aviation Blvd Ste F
Glen Burnie, MD 21061-2593
Mailing address
1589 Sulphur Spring Rd Ste 109
Baltimore, MD 21227-2542
Phone (443) 575-4880
Other practice location 1
25 Crossroads Dr Ste 205
Owings Mills, MD 21117-5533
Phone (410) 602-7792
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Crossroads Dr
Suite 205
Owings Mills, MD 21117-5533
Phone (410) 602-7792
Hospital & facility affiliations
- DaVita Odenton Dialysis
- FMC - Odenton
- Chesapeake Dialysis Clinic LLC
- Fresenius Medical Care Glen Burnie, LLC
- University of MD Baltimore Washington Medical Center
- Medstar Harbor Hospital
- Johns Hopkins Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Nephrology Associates PA | Nephrology | Current | Accepting new patients |
| Clinical Renal Associates, LLC | Nephrology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6934 Aviation Blvd
Ste F
Glen Burnie, MD 21061
Phone (410) 760-3588
1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400
25 Crossroads Dr
Ste 205
Owings Mills, MD 21117
Phone (410) 602-7792
825 Town Center Dr
Ste 152
Langhorne, PA 19047
Phone (215) 741-3510
9501 Roosevelt Blvd
Ste 204
Philadelphia, PA 19114
Phone (215) 677-1900
Interoperability endpoints
- https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
- mahmudulhaque@mana.allscriptsdirect.net
- mhaque581036@direct.sw.org
Organizations & group practices 3
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.
-
- Nephrology Physician
- Baltimore, MD
- NPI 1356390108
-
- Nephrology Physician
- Upland, PA
- NPI 1689620254
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Odenton, MD
- NPI 1699159228
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Arnold, MD
- NPI 1598354706
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Odenton, MD
- NPI 1558605501
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pasadena, MD
- NPI 1225750201
Dialysis facility
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1720175623
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1639436595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1589 SULPHUR SPRING RD STE 109",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212272542",
"telephone_number": "443-575-4880",
"fax_number": "443-575-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6934 AVIATION BLVD STE F",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612593",
"telephone_number": "410-760-3588",
"fax_number": "410-760-3604"
}
],
"practiceLocations": [
{
"address_1": "25 Crossroads Dr Ste 205",
"address_purpose": "LOCATION",
"city": "Owings Mills",
"state": "MD",
"postal_code": "211175533",
"country_code": "US",
"telephone_number": "410-602-7792",
"fax_number": "410-602-9889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAQUE",
"first_name": "MAHMUDUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-17",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MD",
"license": "D0079838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.