Active NPI
Family Urology Associates
- Urology Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- FAMILY UROLOGY ASSOCIATES
- Practice address
- 186 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4471 - Phone
- (301) 606-0551
- Fax
- (301) 606-1958
- NPI assigned
- May 29, 2024
- Last updated
- Jul 26, 2026
- Organization subpart
- Yes
- Parent organization
- FAMILY UROLOGY ASSOCIATES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammed Haseebuddin
- Title
- President
- Phone
- (301) 606-0551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
186 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4471
Mailing address
186 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4471
Phone (301) 606-0551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190312002207 | MD | Part B Supplier - Clinic/Group Practice | 8628318524 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Frederick, MD; Hagerstown, 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- Tax ID family
- Family Urology Associates
- Part of
- Family Urology Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Frederick, MD
- NPI 1346162104
Interoperability endpoints
- https://api.platform.athenahealth.com/18739/brand/1/csg/1/fhir/r4
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Non-Pharmacy Dispensing Site
- Frederick, MD
- NPI 1346162104
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Urology Physician
- Frederick, MD
- NPI 1174750970
-
- Acute Care Nurse Practitioner
- Frederick, MD
- NPI 1568064046
-
- Nurse Practitioner
- Frederick, MD
- NPI 1598194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785024000000",
"number": "1831939529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 THOMAS JOHNSON DR STE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024471",
"telephone_number": "301-606-0551",
"fax_number": "301-606-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 THOMAS JOHNSON DR STE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024471",
"telephone_number": "301-606-0551",
"fax_number": "301-606-1958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY UROLOGY ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY UROLOGY ASSOCIATES",
"enumeration_date": "2024-05-29",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A",
"authorized_official_last_name": "HASEEBUDDIN",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-606-0551"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; 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.