Individual provider Active NPI

Robin E. Medic, MD

  • Physical Medicine & Rehabilitation Physician
  • Prince Frederick, MD
National Provider Identifier
1821132234
Registry record updated Dec 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0070953 Issued in MD
Practice address
130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4015
Phone
(410) 535-1108
Fax
(410) 535-4088
NPI assigned
Feb 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0070953 MD Primary

Addresses

Primary practice location

130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4015

Mailing address

130 Hospital Rd
Suite 101
Prince Frederick, MD 20678-4015
Phone (410) 535-1108

Other identifiers 1

IdentifierTypeStateIssuer
038318000MedicaidMD

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
I20110302000364 MD Practitioner - Physical Medicine and Rehabilitation 6204017866 Reassigns benefits to 1 organization
I20190718002610 DC Practitioner - Physical Medicine and Rehabilitation 6204017866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Pennsylvania State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management Specialists LLCGroup PAC ID 3173513959, 76 clinicians

Practice addresses (Care Compare)

120 Sallitt Dr
Suite D
Stevensville, MD 21666-2154
Phone (410) 571-2946

Hospital & facility affiliations

  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2019 Accepting new patients
Advanced Pain Management Specialists, LLC Physical Medicine & Rehabilitation CurrentSince Aug 1, 2019 Accepting new patients
Physical Medicine & Pain Management Associates, P.C. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

2002 Medical Pkwy
Ste 430
Annapolis, MD 21401
Phone (410) 266-2700

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

201 Defense Hwy
Ste 205
Annapolis, MD 21401

23619 Oak View Dr
Ste R
California, MD 20619

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

23000 Moakley St
Ste 206
Leonardtown, MD 20650
Phone (301) 475-5855

110 Hospital Rd
Ste 305
Prnc Frederck, MD 20678
Phone (410) 535-1451

110 Hospital Rd
Ste 304
Prnc Frederck, MD 20678
Phone (410) 414-9840

130 Hospital Rd
Ste 101
Prnc Frederck, MD 20678
Phone (410) 535-2500

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

Interoperability endpoints

  • Direct secure messaging: robin.medic.1@11679.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387843200000",
    "number": "1821132234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-1108",
            "fax_number": "410-535-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-1108",
            "fax_number": "410-535-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIC",
        "first_name": "ROBIN",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2013-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0070953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038318000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.