Active NPI
Keith Amberman
- Perfusionist
- Olney, MD
National Provider Identifier
1710825864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- Y0000020
- Practice address
- 4421 Thornhurst Dr
Olney, MD 20832-1842 - Phone
- (610) 324-9183
- NPI assigned
- Mar 23, 2026
- Last updated
- Mar 23, 2026
- 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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | Y0000020 | MD | Primary |
Addresses
Primary practice location
4421 Thornhurst Dr
Olney, MD 20832-1842
Mailing address
4421 Thornhurst Dr
Olney, MD 20832-1842
Phone (610) 324-9183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345678 | Other | MD | HOSPITAL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y0000020 | MD | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1710825864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 THORNHURST DR",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321842",
"telephone_number": "610-324-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 THORNHURST DR",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321842",
"telephone_number": "610-324-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBERMAN",
"first_name": "KEITH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "MD",
"license": "Y0000020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPITAL",
"identifier": "12345678",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.