Individual provider Active NPI

Stephanie B. Carpenter, MD

  • Internal Medicine Physician
  • Prince Frederick, MD
National Provider Identifier
1871754499
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D74973 Issued in MD
Practice address
238 Merrimac CT
Prince Frederick, MD 20678-6113
Phone
(410) 535-0892
Fax
(410) 535-5677
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11014288A IN
Internal Medicine Physician 207R00000X 01069672A IN
Internal Medicine Physician 207R00000X D74973 MD Primary

Addresses

Primary practice location

238 Merrimac CT
Prince Frederick, MD 20678-6113

Mailing address

PO Box 838
Prince Frederick, MD 20678-0838
Phone (410) 535-0892

Other identifiers 4

IdentifierTypeStateIssuer
599308300MedicaidMD
P00982678OtherINRR MEDICARE
000000725822OtherINANTHEM PIN
201029140MedicaidIN

Other names 1

  • Stephanie Bynum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20130611000142 DC Practitioner - Geriatric MedicinePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 4486823903 Reassigns benefits to 1 organization
I20150806012079 MD Practitioner - Internal Medicine 4486823903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Hospice/Palliative Care, Internal Medicine
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gilchrist Hospice Care IncGroup PAC ID 2769580422, 52 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Landover, MD 20785-3738
Phone (240) 487-4400

6701 N Charles St
Baltamore, MD 21204-6808

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (443) 578-8043

Hospital & facility affiliations

  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as apm
Quality
67.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069672AINMDInternal Medicine Physician
11014288AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Calvert LLC CurrentSince Jul 15, 2015 Accepting new patients
Luminis Health Gilchrist Lifecare Institute, LLC CurrentSince Nov 1, 2022 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Sep 2, 2022 Accepting new patients
Gilchrist Hospice Care, Inc. CurrentSince Sep 2, 2022 Accepting new patients
Major Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hospice of the Chesapeake, Inc Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 607
Annapolis, MD 21401
Phone (410) 266-1644

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

11311 McCormick Rd
Ste 100
Hunt Valley, MD 21031

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184

Interoperability endpoints

  • Direct secure messaging: scarpenter142350@direct.aahs.org

Organizations & group practices 7

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 3

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1871754499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780838",
            "telephone_number": "410-535-0892",
            "fax_number": "410-535-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MERRIMAC CT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786113",
            "telephone_number": "410-535-0892",
            "fax_number": "410-535-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "STEPHANIE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11014288A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01069672A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D74973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599308300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00982678",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000725822",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201029140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BYNUM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.