NPIMap

Organization Active NPI

1St Medical of Annapolis, Inc.

  • Family Medicine Physician
  • Edgewater, MD
National Provider Identifier
1922282425
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
1ST MEDICAL OF ANNAPOLIS, INC.
Practice address
20 Mayo Rd Ste 201
Edgewater, MD 21037-1442
Phone
(410) 956-6800
Fax
(410) 956-6803
NPI assigned
Dec 20, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Rosemary Ingado, PANPI 1063637155
Title
Clinical Administrator/Physician As
Phone
(410) 956-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

20 Mayo Rd Ste 201
Edgewater, MD 21037-1442

Mailing address

20 Mayo Rd
Suite 201
Edgewater, MD 21037-1439
Phone (410) 956-6800

Other practice location 1

831 University Blvd E Ste 34And36A
Silver Spring, MD 20903-2916
Phone (301) 408-2720

Other practice location 2

7600 Osler Dr Ste 105
Towson, MD 21204-7705
Phone (410) 825-4500

Other practice location 3

405 Frederick Rd Ste 11
Catonsville, MD 21228-4607
Phone (410) 788-4411

Other practice location 4

5620 Saint Barnabas Rd Ste 340
Oxon Hill, MD 20745-3628
Phone (301) 747-4562

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Edgewater Health Information Exchange (HIE) 1ST MEDICAL PAIN MANAGEMENT SPECIALISTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031223000759 MD Part B Supplier - Clinic/Group Practice 6406754738 Receives reassigned benefits from 12 practitioners
Practice locations: Edgewater, MD; Towson, MD; Oxon Hill, MD; Catonsville, MD

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

75 Mayo Rd
Edgewater, MD 21037
Phone (410) 956-6800

5620 Saint Barnabas Rd
Ste 340
Oxon Hill, MD 20745
Phone (240) 766-4552

831 University Blvd E
Ste 34AND36A
Silver Spring, MD 20903
Phone (301) 408-2720

831 University Blvd E
Ste 36A
Silver Spring, MD 20903
Phone (301) 408-2720

Ownership & related parties

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1922282425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAYO RD",
            "address_2": "SUITE 201",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371439",
            "telephone_number": "410-956-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAYO RD STE 201",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371442",
            "telephone_number": "410-956-6800",
            "fax_number": "410-956-6803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 University Blvd E Ste 34And36A",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209032916",
            "country_code": "US",
            "telephone_number": "301-408-2720",
            "fax_number": "301-408-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Osler Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047705",
            "country_code": "US",
            "telephone_number": "410-825-4500",
            "fax_number": "410-825-4503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Frederick Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284607",
            "country_code": "US",
            "telephone_number": "410-788-4411",
            "fax_number": "410-788-4545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5620 Saint Barnabas Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453628",
            "country_code": "US",
            "telephone_number": "301-747-4562",
            "fax_number": "410-956-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "1ST MEDICAL OF ANNAPOLIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "INGADO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR/PHYSICIAN AS",
        "authorized_official_telephone_number": "410-956-6800",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Edgewater",
            "affiliation": "Y",
            "endpointDescription": "mail",
            "affiliationName": "1ST MEDICAL PAIN MANAGEMENT SPECIALISTS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "20 Mayo Rd Ste 201",
            "city": "Edgewater",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210371442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.