Individual provider Active NPI

Amy Elizabeth Shivone, MD

  • Family Medicine Physician
  • College Park, MD
National Provider Identifier
1679866040
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0086200 Issued in MD
Practice address
4407 Hartwick Rd
College Park, MD 20740-3209
Phone
(240) 724-6184
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0086200 MD Primary

Addresses

Primary practice location

4407 Hartwick Rd
College Park, MD 20740-3209

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone (301) 276-3377

Other identifiers 1

IdentifierTypeStateIssuer
340510201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140228000230 TX Practitioner - Family Practice 9335379882 Reassigns benefits to 1 organization
I20200127000760 DC Practitioner - Family Practice 9335379882 Reassigns benefits to 3 organizations
I20200127001367 MD Practitioner - Family Practice 9335379882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

2554 Solomons Island Rd
Suite B 5
Annapolis, MD 21401-3710
Phone (410) 943-2484

4407 Hartwick Rd
College Park, MD 20740-3209
Phone (301) 869-9776

6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (571) 308-6776

7100 Guilford Dr
Suite 100
Frederick, MD 21704-5263
Phone (301) 869-9776

8305 Wisconsin Ave
Bethesda, MD 20814-3103
Phone (301) 800-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network CurrentSince Sep 1, 2014 Accepting new patients
Patient First Maryland Medical Group, PLLC Family Medicine CurrentSince Dec 14, 2019 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Dec 14, 2019 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Dec 14, 2019 Accepting new patients
Comprehensive Primary Care and Associates LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Sep 1, 2014 Accepting new patients
Capital Healthcare PC CurrentSince Mar 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8205 Snowden River Pkwy
Columbia, MD 21045
Phone (410) 290-9990

7100 Guilford Dr
Ste 100
Frederick, MD 21704
Phone (227) 233-0002

6201 Annapolis Rd
Landover Hills, MD 20784
Phone (301) 276-3377

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

8206 Georgia Ave
Silver Spring, MD 20910
Phone (301) 960-4682

10755 Falls Rd
Ste 160
Timonium, MD 21093
Phone (410) 583-2777

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

919 Hidden Rdg
Irving, TX 75038

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

156 W Sunset Rd
San Antonio, TX 78209
Phone (210) 704-0101

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: mdexchange@patientfirstclinics.com
  • Direct secure messaging: elizabeth.shivone.1@15482.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1679866040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 HARTWICK RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403209",
            "telephone_number": "240-724-6184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Landover Hills",
            "state": "MD",
            "postal_code": "207841307",
            "country_code": "US",
            "telephone_number": "301-276-3377",
            "fax_number": "210-829-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVONE",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0086200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340510201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6201 Annapolis Rd",
            "city": "Landover Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207841307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

Verify at the official NPI Registry.