Individual provider Active NPI

Candice Yaa Fori, PA

  • Physician Assistant
  • Silver Spring, MD
National Provider Identifier
1679624399
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C03305 Issued in MD
Practice address
3801 International Dr Ste 310
Silver Spring, MD 20906-1550
Phone
(301) 598-9717
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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 C03305 MD Primary

Addresses

Primary practice location

3801 International Dr Ste 310
Silver Spring, MD 20906-1550

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 614-0676

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
I20080320000683 MD Practitioner - Physician Assistant 7012093743 Reassigns benefits to 3 organizations
I20080416000340 DC Practitioner - Physician Assistant 7012093743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Urology Associates LLCGroup PAC ID 4789673393, 161 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140

3801 International Dr
Silver Spring, MD 20906-1550
Phone (301) 598-9171

Hospital & facility affiliations

  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C03305MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates, LLC CurrentSince Jun 1, 2022 Accepting new patients
Chesapeake Urology Associates LLC CurrentSince Jun 1, 2022 Accepting new patients
Synergy Medical Group LLC CurrentSince Aug 12, 2025 Accepting new patients
Synergy Medical Group LLC CurrentSince Aug 12, 2025 Accepting new patients
Chesapeake Urology Associates, LLC CurrentSince Sep 16, 2022 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2010 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2010 Accepting new patients
Union Memorial Hospital Past Accepting new patients
Synergy Medical Group LLC Past Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients

Locations

3407 Wilkens Ave
Ste 200
Baltimore, MD 21229
Phone (410) 644-0929

600 N Wolfe St
Baltimore, MD 21287

3333 N Calvert St
Ste 201
Baltimore, MD 21218
Phone (410) 554-2223

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5215 W Cedar Ln
Bethesda, MD 20814
Phone (301) 530-1600

7580 Buckingham Blvd
Ste 110
Hanover, MD 21076

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

1111 Mount Hermon Rd
#A
Salisbury, MD 21804
Phone (410) 546-2133

3801 International Dr
Ste 310
Silver Spring, MD 20906
Phone (301) 598-9171

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

Interoperability endpoints

  • Direct secure messaging: candicefori@tsicua.allscriptsdirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1679624399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 INTERNATIONAL DR STE 310",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061550",
            "telephone_number": "301-598-9717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-614-0676",
            "fax_number": "410-614-0886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORI",
        "first_name": "CANDICE",
        "middle_name": "YAA",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.