Individual provider Active NPI

Annie Bury, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1902357718
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006882 Issued in MD
Practice address
3333 N Calvert St Ste 400
Baltimore, MD 21218-6501
Phone
(410) 554-6844
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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 C0006882 MD Primary

Addresses

Primary practice location

3333 N Calvert St Ste 400
Baltimore, MD 21218-6501

Mailing address

3333 N Calvert St Ste 400
Baltimore, MD 21218-6501
Phone (410) 554-6844

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
I20190625000423 MD Practitioner - Physician Assistant 6507190659 Reassigns benefits to 3 organizations
I20201221002488 DC Practitioner - Physician Assistant 6507190659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

2118 Greenspring Dr
Timonium, MD 21093-3112
Phone (410) 560-3480

3333 N Calvert St
Baltimore, MD 21218-6502

9501 Old Annapolis Rd
Suite 220
Ellicott City, MD 21042-6332
Phone (410) 772-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0006882MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 27, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

810 Bestgate Rd
Ste 310
Annapolis, MD 21401
Phone (443) 777-2475

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3333 N Calvert St
Ste 400
Baltimore, MD 21218
Phone (410) 554-2270

9501 Old Annapolis Rd
Ste 220
Ellicott City, MD 21042
Phone (410) 772-2000

2410 Evergreen Rd
Gambrills, MD 21054
Phone (410) 350-2180

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

2118 Greenspring Dr
Ste 110
Timonium, MD 21093

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: abury925389@direct.umm.edu
  • Direct secure messaging: annie.bury.1@22522.direct.athenahealth.com

Organizations & group practices 8

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1902357718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186501",
            "telephone_number": "410-554-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186501",
            "telephone_number": "410-554-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURY",
        "first_name": "ANNIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.