Organization Active NPI

Capricorn Health LLC

  • Addiction Medicine (Family Medicine) Physician
  • Elkton, MD
National Provider Identifier
1760096473
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
CAPRICORN HEALTH LLC
Practice address
101 Chesapeake Blvd
Suite B
Elkton, MD 21921-2192
Phone
(410) 398-0590
NPI assigned
Sep 1, 2020
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Dr. Christopher E Gelmann, MD
Title
Managing Member
Phone
(443) 553-0057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

101 Chesapeake Blvd
Suite B
Elkton, MD 21921-2192

Mailing address

101 Chesapeake Blvd
Suite B
Elkton, MD 21921
Phone (410) 398-0590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215001757 MD Part B Supplier - Clinic/Group Practice 4486064441 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Essex, MD; Salisbury, MD; North East, MD; Elkton, MD; Chestertown, MD

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

932 Washington Ave
Unit E
Chestertown, MD 21620
Phone (443) 666-3429

404 Eastern Blvd
Essex, MD 21221
Phone (410) 687-2300

401 Eastern Shore Dr
Salisbury, MD 21804

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1760096473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD",
            "address_2": "SUITE B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "410-398-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD",
            "address_2": "SUITE B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219212192",
            "telephone_number": "410-398-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPRICORN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "GELMANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "443-553-0057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.