NPIMap

Organization Active NPI

Family Urology Associates

  • Urology Physician
  • Frederick, MD
National Provider Identifier
1972077261
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FAMILY UROLOGY ASSOCIATES
Practice address
186 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4471
Phone
(301) 606-0551
Fax
(301) 606-1958
NPI assigned
Jan 19, 2019
Organization subpart
Yes
Parent organization
FAMILY UROLOGY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Mohammed Haseebuddin, MDNPI 1174750970
Title
Urologist
Phone
(240) 344-8417

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

186 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4471

Mailing address

186 Thomas Johnson Dr Ste 104
Frederick, MD 21702-4471
Phone (301) 606-0551

Other practice location 1

184 Thomas Johnson Dr Ste 201
Frederick, MD 21702-4562
Phone (301) 606-0551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190312002207 MD Part B Supplier - Clinic/Group Practice 8628318524 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Frederick, MD; Hagerstown, MD

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Family Urology Associates

Locations

186 Thomas Johnson Dr
Frederick, MD 21702

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1972077261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 THOMAS JOHNSON DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024471",
            "telephone_number": "301-606-0551",
            "fax_number": "301-606-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 THOMAS JOHNSON DR STE 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024471",
            "telephone_number": "301-606-0551",
            "fax_number": "301-606-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Thomas Johnson Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024562",
            "country_code": "US",
            "telephone_number": "301-606-0551",
            "fax_number": "301-606-1958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY UROLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY  UROLOGY ASSOCIATES",
        "enumeration_date": "2019-01-19",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "HASEEBUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "240-344-8417",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 13, 2026; 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.