Individual provider Active NPI

Maryann Ancheta Ifurung, M.D.

  • Family Medicine Physician
  • Landover Hills, MD
National Provider Identifier
1750726709
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0078914 Issued in MD
Practice address
6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone
(301) 276-3377
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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 D0078914 MD Primary

Addresses

Primary practice location

6201 Annapolis Rd
Landover Hills, MD 20784-1307

Mailing address

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

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 MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150721000539 MD Practitioner - Family Practice 7517270549 Reassigns benefits to 1 organization
I20150806012343 DC Practitioner - Family Practice 7517270549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10424 Baltimore Ave
Beltsville, MD 20705-2321
Phone (240) 542-5987

1670 Ritchie Station CT
Capitol Heights, MD 20743-5074
Phone (240) 765-1406

2855 Crain Hwy
Waldorf, MD 20601-2807
Phone (240) 427-1926

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

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

9000 Woodyard Rd
Clinton, MD 20735-4206
Phone (240) 546-3428

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jun 25, 2015 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jun 25, 2015 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jun 25, 2015 Accepting new patients
Patient First Maryland Medical Group, PLLC Family Medicine Current Accepting new patients

Locations

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

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

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

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

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

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

Interoperability endpoints

  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 4

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1750726709",
    "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": "6201 ANNAPOLIS RD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207841307",
            "telephone_number": "301-276-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFURUNG",
        "first_name": "MARYANN",
        "middle_name": "ANCHETA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0078914",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Landover Hills, MD

Sources for this page

Verify at the official NPI Registry.