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ANDREW R. DELAPENHA M.D.
NPI 1053775080
Internal Medicine in Baltimore, MD

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
419 W REDWOOD ST, BALTIMORE, MD 21201(667) 214-1515(410) 328-3577 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2022, Jul 2, 2019 (2 updates tracked since 2019).

About Andrew R. Delapenha M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW R. DELAPENHA M.D. (NPI 1053775080) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D87790) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1053775080
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW R. DELAPENHACredential: M.D.
Location Address419 W REDWOOD STBaltimore, MD 21201-1734
Mailing AddressPo Box 64442Baltimore, MD 21264-4442 · (410) 328-8040 · Fax (443) 462-3514
Phone(667) 214-1515
Fax(410) 328-3577
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1053775080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D87790
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License D87790 (MD)
419 W REDWOOD ST, Baltimore, MD 21201
Open in Google Maps ↗

Secondary Practice Location 1

Location 122 S Greene StBaltimore, MD 21201-1590 · Phone (410) 328-7604 · Fax (410) 328-7607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew R. Delapenha M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082909189
PECOS Enrollment IDI20190731002952
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Delapenha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Maryland Physicians PA
0.1 mi
Pulmonary Disease
22 S GREENE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 614 clinicians in this Medicare group
NPI 1144270687 (410) 328-8040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
160 services112 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Maryland Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210002
Location22 South Greene StreetBaltimore, MD 21201 · Baltimore City County
Emergency services Birthing friendly

University Of MD Medical Center Midtown Campus

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210038
Location827 Linden AvenueBaltimore, MD 21201 · Baltimore City County
Emergency services

Umd Rehabilitation & Orthopaedic Institute

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210058
Location2200 Kernan DriveBaltimore, MD 21207 · Baltimore County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF MARYLAND SURGICAL ASSOCIATES, PA
Surgery
419 W REDWOOD ST
BALTIMORE, MD 21201
Baltimore City (667) 214-1718
RADHIKA SRIVASTAVA
Dermatology
419 W REDWOOD ST
BALTIMORE, MD 21201
Baltimore City (667) 214-1199
LILY T IM MD
Ophthalmology
419 W REDWOOD ST, SUITE 479
BALTIMORE, MD 21201
Baltimore City (410) 328-5918
JINAE ARNEKLEV CRNP
Nurse Practitioner (Family)
419 W REDWOOD ST, SUITE 160
BALTIMORE, MD 21201
Baltimore City (410) 528-3167
SARAH D CRIMMINS DO
Obstetrics & Gynecology (Maternal & Fetal Medicine)
419 W REDWOOD ST, SUITE 500
BALTIMORE, MD 21201
Baltimore City (667) 214-1300
MARGARET LOUISE VINCENT LCSW
Social Worker (Clinical)
419 W REDWOOD ST
BALTIMORE, MD 21201
Baltimore City (410) 328-1935
MS. ERIN W WRIGHT CNM
Midwife
419 W REDWOOD ST, SUITE 500
BALTIMORE, MD 21201
Baltimore City (410) 328-6640
UNIVERSITY OF MARYLAND SURGCIAL ASSOC PA
Clinic/Center (Ambulatory Surgical)
419 W REDWOOD ST, SUITE 310
BALTIMORE, MD 21201
Baltimore City (410) 328-4080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Delapenha's NPI number?

The NPI number for Andrew Delapenha is 1053775080. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Andrew Delapenha located?

Andrew Delapenha practices at 419 W Redwood St, Baltimore, MD 21201. The listed phone number is (667) 214-1515.

What is Andrew Delapenha's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Delapenha enrolled in Medicare?

Yes. Andrew Delapenha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Delapenha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Delapenha reassigns Medicare benefits to University Of Maryland Physicians PA (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Delapenha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Delapenha affiliated with any hospitals?

According to CMS data, Andrew Delapenha is affiliated with University Of Maryland Medical Center, University Of MD Medical Center Midtown Campus and Umd Rehabilitation & Orthopaedic Institute.

When was this NPI record last updated?

The NPPES record for Andrew Delapenha was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.