Active NPI
Bamlak Andargachew Gebremariam, M.D.
- Internal Medicine Physician
- Leonardtown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0102637
- Practice address
- 25500 Point Lookout Rd
Leonardtown, MD 20650-2015 - Phone
- (301) 475-8981
- NPI assigned
- May 24, 2022
- Reactivated
- Jul 6, 2023
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0102637 | MD | Primary |
Addresses
Primary practice location
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Mailing address
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (301) 675-2969
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088
Hospital & facility affiliations
- Medstar Saint Mary'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| St Marys Hospital of St Marys County Inc | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Past | Accepting new patients |
Locations
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
Organizations & group practices 3
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1730827239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25500 POINT LOOKOUT RD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502015",
"telephone_number": "301-675-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 POINT LOOKOUT RD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502015",
"telephone_number": "301-475-8981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREMARIAM",
"first_name": "BAMLAK",
"middle_name": "ANDARGACHEW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-24",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"deactivation_date": "2023-02-22",
"reactivation_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0102637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.