NPIMap

Individual provider Active NPI

Daniel A Buckingham, M.D.

  • Family Medicine Physician
  • Oakland, MD
National Provider Identifier
1992732028
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0064302 Issued in MD
Practice address
1027 Memorial Dr
Oakland, MD 21550-4343
Phone
(301) 533-3300
Fax
(833) 448-0361
NPI assigned
Jun 26, 2006
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0064302 MD Primary
Family Medicine Physician 207Q00000X 38840 KY

Addresses

Primary practice location

1027 Memorial Dr
Oakland, MD 21550-4343

Mailing address

1027 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 533-3300

Other practice location 1

22221 Westernport Rd SW
Westernport, MD 21562-2206
Phone (240) 774-0204

Other practice location 2

104 Parkview Dr
Grantsville, MD 21536-1086
Phone (844) 652-8730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000552 MD Practitioner - Family Practice 0042253270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1027 Memorial Dr
Oakland, MD 21550-4343
Phone 30153333003081

32 Corporate Dr
Grantsville, MD 21536-1259
Phone (301) 895-8750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38840KYMDFamily Medicine Physician
D0064302MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Maryland Health Care Corporation CurrentSince Oct 31, 2016 Accepting new patients
Western Maryland Health Care Corporation CurrentSince Oct 31, 2016 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Nov 1, 2020 Accepting new patients
Western Maryland Health Care Corporation Current Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Nov 1, 2020 Accepting new patients
Western Maryland Health Care Corporation Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
GRMC, Inc. Past Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients

Locations

104 Parkview Dr
Grantsville, MD 21536
Phone (301) 895-5107

28 Hershberger Ln
Grantsville, MD 21536
Phone (301) 895-5107

32 Corporate Dr
Grantsville, MD 21536
Phone (301) 895-8750

1027 Memorial Dr
Oakland, MD 21550
Phone (301) 533-3300

255 N 4th St
Ste 1
Oakland, MD 21550
Phone (301) 533-1046

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

22221 Westernport Rd SW
Westernport, MD 21562
Phone (240) 774-0204

Interoperability endpoints

  • Direct secure messaging: daniel.buckingham.1@28818.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1992732028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "833-448-0361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22221 Westernport Rd SW",
            "address_purpose": "LOCATION",
            "city": "Westernport",
            "state": "MD",
            "postal_code": "215622206",
            "country_code": "US",
            "telephone_number": "240-774-0204",
            "fax_number": "833-448-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215361086",
            "country_code": "US",
            "telephone_number": "844-652-8730",
            "fax_number": "833-448-0361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0064302",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.