ST. MARY'S NEUROLOGY AND SPINE
NPI 1194974360
Specialist in Mechanicsville, MD
About St. Mary's Neurology And Spine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. MARY'S NEUROLOGY AND SPINE (NPI 1194974360) is a healthcare organization registered as a specialist in Mechanicsville, Maryland and active in the NPI registry since September 2008. The organization maintains a secondary practice location in Waldorf and lists Ahmed Kafaji, Owner/ Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Mary's Neurology And Spine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to St. Mary's Neurology And Spine, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Mechanicsville, MD 20659
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Chesapeake Neurology And Spine's NPI number?
The NPI number for Chesapeake Neurology And Spine is 1194974360. It was assigned to this organization in the NPPES registry on September 12, 2008. The provider is also known as St. Mary's Neurology And Spine.
Where is Chesapeake Neurology And Spine located?
Chesapeake Neurology And Spine is located at 28105 Three Notch Rd # 1C, Mechanicsville, MD 20659. The listed phone number is (301) 290-1510.
What is Chesapeake Neurology And Spine's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Chesapeake Neurology And Spine enrolled in Medicare?
Yes. Chesapeake Neurology And Spine is registered in the Medicare PECOS enrollment system.
When is Chesapeake Neurology And Spine's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Chesapeake Neurology And Spine?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Chesapeake Neurology And Spine, in Neurology and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Chesapeake Neurology And Spine was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# St. Mary's Neurology And Spine · NPI 1194974360
Specialist organization in Mechanicsville, Maryland. Organization record, active in the CMS NPPES registry since September 12, 2008.
## Identity
- **NPI:** 1194974360 (Entity type: Organization)
- **Enumerated:** September 12, 2008
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Chesapeake Neurology And Spine
- **Organization subpart:** No
- **Authorized official:** Ahmed Kafaji, OWNER/ MD
## Practice location
- **Address:** 28105 THREE NOTCH RD # 1C, Mechanicsville, MD 20659-3235
- **Phone:** (301) 290-1510 · **Fax:** (301) 290-1574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Neurology (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194974360) · Data from the CMS NPPES public registry.