Active NPI
Allan J Monfried, MD
- Pediatrics Physician
- Annapolis, MD
National Provider Identifier
1659330066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D007144
- Practice address
- 2114 Generals Hwy
Annapolis, MD 21401-7488 - Phone
- (410) 451-2116
- Fax
- (410) 721-2656
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D007144 | MD | Primary |
Addresses
Primary practice location
2114 Generals Hwy
Annapolis, MD 21401-7488
Mailing address
PO Box 6725
Annapolis, MD 21401-0725
Phone (443) 332-4260
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KV0835443203 | Other | MD | CAREFIRST |
| 022951200 | Medicaid | MD | |
| W6200028 | Other | DC | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D007144 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Agnes Healthcare | Pediatrics | Past | Accepting new patients |
| Cedar Health Ventures, LLC | Past | Accepting new patients | |
| St Agnes Healthcare Inc | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1659330066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6725",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214010725",
"telephone_number": "443-332-4260",
"fax_number": "410-721-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 GENERALS HWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017488",
"telephone_number": "410-451-2116",
"fax_number": "410-721-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONFRIED",
"first_name": "ALLAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D007144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "KV0835443203",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022951200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "W6200028",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.