Anne Arundel Urology, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ANNE ARUNDEL UROLOGY, PA

Practice address

305 Hospital Dr Ste 303
Glen Burnie, MD 21061-5862

Phone

(410) 266-8049

NPI assigned

Jan 15, 2024

Last updated

May 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mara Holton

Title

Ceopresident

Phone

(410) 266-8049

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Anne Arundel Urology, PA

  • Urology Physician
  • Greenbelt, MD
  • NPI 1104697366

  9032178918

  Same PAC ID
• Anne Arundel Urology, PA

  • Urology Physician
  • Annapolis, MD
  • NPI 1164426045

  9032178918

  Same PAC ID
• Anne Arundel Urology, PA

  • Urology Physician
  • Bowie, MD
  • NPI 1730365396

  9032178918

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Anne Arundel Urology PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anne Arundel Urology, PA

  • Urology Physician
  • Greenbelt, MD
  • NPI 1104697366
  NPD tax ID

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1891566048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HOSPITAL DR STE 303",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 HOSPITAL DR STE 303",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615862",
            "telephone_number": "410-266-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ARUNDEL UROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "CEOPRESIDENT",
        "authorized_official_telephone_number": "410-266-8049"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Anne Arundel Dermatology, PA
• Anne Arundel Neurology LLC
• Gloria Nana Adoma Ansah, DDS
• Antares Medical LLC
• Anthony J Raneri MD LLC
• Brionna M. Anthony, DDS
• Anthony C Anyadike, DDS

• Urology Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Urology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.