Organization Active NPI

Mid-Atlantic ENT

  • Otolaryngology Physician
  • Annapolis, MD
National Provider Identifier
1770175978
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MID-ATLANTIC ENT
Practice address
600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082
Phone
(410) 573-9191
Fax
(410) 573-5910
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Dr. Lee Allan Kleiman, MDNPI 1497783393
Title
Medical Director
Phone
(410) 573-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0007X
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X

Addresses

Primary practice location

600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082

Mailing address

600 Ridgely Ave Ste 110
Annapolis, MD 21401-1082
Phone (410) 573-9191

Other practice location 1

479 Jumpers Hole Rd Ste 304
Severna Park, MD 21146-1734
Phone (410) 573-9191

Other practice location 2

621 Ridgely Ave Ste 401
Annapolis, MD 21401-1099
Phone (410) 573-9191

Other identifiers 3

IdentifierTypeStateIssuer
502528100MedicaidMD
FN66-0000OtherCAREFIRST BCBS
9001272OtherMDAETNA

Other names 1

  • Anne Arundel ENT & Facial Plastic Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210518001076 MD Part B Supplier - Clinic/Group Practice 8527477819 Receives reassigned benefits from 9 practitioners
Practice locations: Annapolis, MD; Severna Park, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2260845Mid-Atlantic ENT, LLC600 Ridgely Ave Suite 110, Annapolis, MD 21401Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Locations

600 Ridgely Ave
Ste 110
Annapolis, MD 21401
Phone (410) 263-8389

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1770175978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011082",
            "telephone_number": "410-573-9191",
            "fax_number": "410-573-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 110",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011082",
            "telephone_number": "410-573-9191",
            "fax_number": "410-573-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 Jumpers Hole Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211461734",
            "country_code": "US",
            "telephone_number": "410-573-9191",
            "fax_number": "410-573-5910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Ridgely Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011099",
            "country_code": "US",
            "telephone_number": "410-573-9191",
            "fax_number": "410-573-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-ATLANTIC ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "KLEIMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-573-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502528100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "FN66-0000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9001272",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel ENT & Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.