NPIMap

Individual provider Active NPI

Mitchell Sender Gittelman, D.O.

  • Family Medicine Physician
  • Salisbury, MD
National Provider Identifier
1851398689
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0054827 Issued in MD
Practice address
31413 Winterplace Pkwy Ste 103
Salisbury, MD 21804-1877
Phone
(410) 860-0100
Fax
(410) 860-4894
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 H0054827 MD Primary

Addresses

Primary practice location

31413 Winterplace Pkwy Ste 103
Salisbury, MD 21804-1877

Mailing address

PO Box 1978
Salisbury, MD 21802-1978
Phone (410) 749-1015

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000639 MD Practitioner - Family Practice 6901945799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rowan University School of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Lower Counties Community Services IncGroup PAC ID 3678484300, shared by 24 NPIs, 74 clinicians

Practice addresses (Care Compare)

12137 Elm St
Princess Anne, MD 21853-1358
Phone (410) 651-1000

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Enhabit Home Health Home health agency, Salisbury, MD, CCN 217157
  • Tidalhealth Home Care Home health agency, Salisbury, MD, CCN 217079
  • Coastal Hospice Inc Hospice, Salisbury, MD, CCN 211505
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0054827MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell S. Gittelman, D.O., P.a. Family Medicine CurrentSince Sep 1, 2002 Accepting new patients
Three Lower Counties Community Services Inc Current Accepting new patients
Three Lower Counties Community Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Three Lower Counties Community Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Three Lower Counties Community Services, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12145 Elm St
Princess Anne, MD 21853
Phone (410) 651-2204

12137 Elm St
Princess Anne, MD 21853
Phone (410) 651-1000

31413 Winterplace Pkwy
Ste 103
Salisbury, MD 21804
Phone (410) 850-0100

31413 Winterplace Pkwy
#10
Salisbury, MD 21804

Interoperability endpoints

  • Direct secure messaging: mitchell.gittelman.1@3167.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1851398689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1978",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218021978",
            "telephone_number": "410-749-1015",
            "fax_number": "410-749-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31413 WINTERPLACE PKWY STE 103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041877",
            "telephone_number": "410-860-0100",
            "fax_number": "410-860-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTELMAN",
        "first_name": "MITCHELL",
        "middle_name": "SENDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0054827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.