Individual provider Active NPI

Irwin F Pink, PA

  • Physician Assistant
  • Glen Burnie, MD
National Provider Identifier
1891742003
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C02668 Issued in MD
Practice address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone
(410) 787-4565
Fax
(410) 766-7602
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C02668 MD Primary

Addresses

Primary practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Mailing address

PO Box 8160
Philadelphia, PA 19101-8160
Phone (800) 355-0808

Other practice location 1

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100612000009 MD Practitioner - Physician Assistant 9638209901 Reassigns benefits to 4 organizations
I20250513003396 DC Practitioner - Physician Assistant 9638209901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, 258 clinicians
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

12 Newport Dr
Forest Hill, MD 21050-1758

5100 Eastern Ave
Bayview
Baltimore, MD 21224-2772
Phone (410) 814-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C02668MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 7, 2025 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Mar 10, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jul 7, 2025 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Mar 10, 2025 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Mar 10, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Physician Assistant Past Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

1312 Bellona Ave
Ste 302
Lutherville Timonium, MD 21093
Phone (301) 637-8712

4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484

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

4 Park Center Ct
Ste 200
Owings Mills, MD 21117

120 Westminster Pike
Ste 200
Reisterstown, MD 21136

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

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: 38ipink@cfaortho.emadirect.md
  • Direct secure messaging: ipink23523@direct.umm.edu
  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 12

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1891742003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8160",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191018160",
            "telephone_number": "800-355-0808",
            "fax_number": "610-834-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4565",
            "fax_number": "410-766-7602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10210 Reisterstown Rd",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211173606",
            "country_code": "US",
            "telephone_number": "410-902-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINK",
        "first_name": "IRWIN",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C02668",
            "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": "10210 Reisterstown Rd",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211173606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.