Individual provider Active NPI

Aneeqa Idrees, M.D.

  • Family Medicine Physician
  • Frederick, MD
National Provider Identifier
1700268356
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D086107 Issued in MD
Practice address
3430 Worthington Blvd
Frederick, MD 21704
Phone
(240) 215-6900
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R3803 KY
Family Medicine Physician 207Q00000X D86107 MD
Family Medicine Physician 207Q00000X D086107 MD Primary

Addresses

Primary practice location

3430 Worthington Blvd
Frederick, MD 21704

Mailing address

610 Solarex CT
Frederick, MD 21703-8624

Other practice location 1

610 9th Ave
Brunswick, MD 21716
Phone (301) 834-7188

Other practice location 2

610 9th Ave
Brunswick, MD 21716
Phone (301) 834-7188

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125000502 MD Practitioner - Family Practice 5395022933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

56 Thomas Johnson Dr
Frederick, MD 21702-4599
Phone (301) 694-3111

610 Solarex CT
Frederick, MD 21703-8624
Phone (301) 682-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3803KYMDFamily Medicine Physician
D086107MDMDFamily Medicine Physician
D86107MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Current Accepting new patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Dec 12, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Dec 12, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 12, 2018 Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

610 9th Ave
Brunswick, MD 21716
Phone (301) 834-7188

610 Solarex Ct
Frederick, MD 21703
Phone (301) 663-6162

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

56 Thomas Johnson Dr
Ste 200
Frederick, MD 21702
Phone (301) 694-3111

3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 874-2530

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • Direct secure messaging: aneeqa.idrees.1@8042.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1700268356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOLAREX CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 WORTHINGTON BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "240-215-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "MD",
            "postal_code": "21716",
            "country_code": "US",
            "telephone_number": "301-834-7188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "MD",
            "postal_code": "21716",
            "country_code": "US",
            "telephone_number": "301-834-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDREES",
        "first_name": "ANEEQA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R3803",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D86107",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D086107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.