Individual provider Active NPI

Michael P. Dalgetty, M.D.

  • Family Medicine Physician
  • Waldorf, MD
National Provider Identifier
1831177419
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0053976 Issued in MD
Practice address
2855 Crain Hwy
Waldorf, MD 20601-2840
Phone
(240) 427-1926
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 D0053976 MD Primary

Addresses

Primary practice location

2855 Crain Hwy
Waldorf, MD 20601-2840

Mailing address

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

Other practice location 1

47149 Buse Rd
Bldg 1370
Patuxent River, MD 20670-1540
Phone (301) 342-9503

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
I20110303000366 MD Practitioner - Family Practice 9537341177 Reassigns benefits to 1 organization
I20200519000160 DC Practitioner - Family Practice 9537341177 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053976MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Mar 17, 2020 Accepting new patients
Patient First Maryland Medical Group, PLLC Family Medicine CurrentSince Mar 17, 2020 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Mar 17, 2020 Accepting new patients

Locations

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

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

8206 Georgia Ave
Silver Spring, MD 20910
Phone (301) 960-4682

10755 Falls Rd
Ste 160
Timonium, MD 21093
Phone (410) 583-2777

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 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1831177419",
    "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",
            "fax_number": "301-342-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012840",
            "telephone_number": "240-427-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47149 Buse Rd",
            "address_2": "Bldg 1370",
            "address_purpose": "LOCATION",
            "city": "Patuxent River",
            "state": "MD",
            "postal_code": "206701540",
            "country_code": "US",
            "telephone_number": "301-342-9503",
            "fax_number": "301-342-4718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALGETTY",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0053976",
            "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": "2855 Crain Hwy",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206012840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.