Active NPI
Mid-Atlantic ENT
- Otolaryngology Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Allan Kleiman, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 502528100 | Medicaid | MD | |
| FN66-0000 | Other | CAREFIRST BCBS | |
| 9001272 | Other | MD | AETNA |
Other names 1
- Anne Arundel ENT & Facial Plastic Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2260845 | Mid-Atlantic ENT, LLC | Certificate of waiver | May 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Otolaryngology Physician
- Annapolis, MD
- NPI 1285124891
-
- Otolaryngology Physician
- Annapolis, MD
- NPI 1316035447
-
- Family Nurse Practitioner
- Annapolis, MD
- NPI 1427739036
-
- Audiologist
- Bowie, MD
- NPI 1356993299
-
- Otolaryngology Physician
- Annapolis, MD
- NPI 1760581821
-
- Physician Assistant
- Odenton, MD
- NPI 1942088042
-
- Physician Assistant
- Severna Park, MD
- NPI 1497846570
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.