Individual provider Active NPI

Uzma Afzal, PA

  • Medical Physician Assistant
  • Crofton, MD
National Provider Identifier
1912920257
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0002658 Issued in MD
Practice address
2200 Defense Hwy
Ste 103
Crofton, MD 21114-2926
Phone
(410) 721-5280
Fax
(410) 721-2243
NPI assigned
Jul 26, 2006
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002658 MD
Medical Physician Assistant 363AM0700X C0002658 MD Primary

Addresses

Primary practice location

2200 Defense Hwy
Ste 103
Crofton, MD 21114-2926

Mailing address

2200 Defense Hwy
Ste 103
Crofton, MD 21114-2926
Phone (410) 721-5280

Other identifiers 3

IdentifierTypeStateIssuer
904200800MedicaidMD
S186 /OtherMDBLUECHOICE
KT93, LT35 /OtherMDBC / BS OF MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060120000656 MD Practitioner - Physician Assistant 4688698392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0002658MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Community Health Center, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medstar Good Samaritan Physicians LLC Past Accepting new patients
Peoples Community Health Center, Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1912920257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "STE 103",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142926",
            "telephone_number": "410-721-5280",
            "fax_number": "410-721-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DEFENSE HWY",
            "address_2": "STE 103",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142926",
            "telephone_number": "410-721-5280",
            "fax_number": "410-721-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFZAL",
        "first_name": "UZMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002658",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904200800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "S186 /",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC / BS OF MD",
            "identifier": "KT93, LT35 /",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.