NPIMap

Organization Active NPI

Monocacy Health Partners LLC

  • Internal Medicine Physician
  • Frederick, MD
National Provider Identifier
1922487792
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MONOCACY HEALTH PARTNERS LLC
Practice address
300 W 9TH St
Frederick, MD 21701-4541
Phone
(301) 662-8119
NPI assigned
May 26, 2015
Organization subpart
Yes
Parent organization
MONOCACY HEALTH PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Michelle Mahan
Title
Cfo and Sr. VP
Phone
(240) 566-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

300 W 9TH St
Frederick, MD 21701-4541

Mailing address

300 W 9TH St
Frederick, MD 21701-4541
Phone (301) 662-8119

Other names 1

  • Monocacy Health Partners Internal Medicine Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130820000555 MD Part B Supplier - Clinic/Group Practice 9931341096 Receives reassigned benefits from 296 practitioners
41 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Frederick, MD; Ijamsville, MD; Mount Airy, MD; Myersville, MD; Walkersville, MD; Adamstown, MD; Brunswick, MD; Emmitsburg, MD

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

National Provider Directory

National Provider Directory
Part of
Monocacy Health Partners LLC

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1922487792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 9TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014541",
            "telephone_number": "301-662-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 9TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014541",
            "telephone_number": "301-662-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONOCACY HEALTH PARTNERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONOCACY HEALTH PARTNERS LLC",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CFO AND SR. VP",
        "authorized_official_telephone_number": "240-566-3355"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monocacy Health Partners Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.