NPIMap

Organization Active NPI

Arundel Lodge, Inc

  • Community/Behavioral Health Agency
  • Annapolis, MD
National Provider Identifier
1689063059
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ARUNDEL LODGE, INC
Practice address
1819 Bay Ridge Ave Ste 220
Annapolis, MD 21403-2835
Phone
(443) 433-5900
NPI assigned
Jan 22, 2015
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ARUNDEL LODGE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Kerry L Lowry
Title
Billing Supervisor
Phone
(443) 433-5929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1819 Bay Ridge Ave Ste 220
Annapolis, MD 21403-2835

Mailing address

1819 Bay Ridge Ave Ste 220
Annapolis, MD 21403-2835
Phone (443) 433-5929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080519000639 MD Part B Supplier - Clinic/Group Practice 8123197050 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Annapolis, MD; Edgewater, MD

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Arundel Lodge Inc11 organizations share this tax ID, including this one
Part of
Arundel Lodge Inc

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1419 Forest Dr
Ste 102
Annapolis, MD 21403
Phone (410) 280-2333

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1689063059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BAY RIDGE AVE STE 220",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032835",
            "telephone_number": "443-433-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BAY RIDGE AVE STE 220",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032835",
            "telephone_number": "443-433-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL LODGE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARUNDEL LODGE, INC",
        "enumeration_date": "2015-01-22",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "443-433-5929"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.