UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
NPI 1295367894
Physician Assistant - Surgical in Glen Burnie, MD

Active since February 11, 2020
301 HOSPITAL DR, GLEN BURNIE, MD 21061(410) 787-4000 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2024, Feb 11, 2020 (2 updates tracked since 2020).

About University Of Maryland Community Medical Group, Inc. NPPES

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

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC. (NPI 1295367894) is a healthcare organization registered as a surgical in Glen Burnie, Maryland and active in the NPI registry since February 2020. The organization lists Paul Stephen Nicholson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295367894
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameUNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Location Address301 HOSPITAL DRGlen Burnie, MD 21061-5803
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Organization SubpartNo
Authorized OfficialPaul Stephen NicholsonCfo · (410) 822-1000
Enumeration DateFebruary 11, 2020
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1295367894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
301 HOSPITAL DR, Glen Burnie, MD 21061

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Of Maryland Community Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

963

Medicare enrollment records show 963 clinicians reassign Medicare billing to University Of Maryland Community Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 79 practice at this address and 209 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner215
Obstetrics/Gynecology79
Internal Medicine63
Certified Registered Nurse Anesthetist (CRNA)60
Pediatric Medicine54
Psychiatry51
Certified Nurse Midwife (CNM)37
Neurology37
41 other specialties367

Nearest to this location (20)

See all 963
Hospitalist
NPI 1336317676
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1467865915
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOSSame address
Pulmonary Disease
NPI 1306294004
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043818651
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1659665321
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1629697776
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4958
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053011247
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1265621031
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1881720225
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1386031342
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4490
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1326899089
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 777-4000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1558663278
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1194865949
301 HOSPITAL DR ANESTHESIOLOGY DEPARTMENT
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1790362390
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1477882363
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1568761732
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 787-4000
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1033125372
301 HOSPITAL DR
Glen Burnie, MD 21061
(410) 553-8300
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1679674618
301 HOSPITAL DR SUITE 801
Glen Burnie, MD 21061
(410) 553-8170
✔ PECOSSame address
Podiatry
NPI 1629186218
301 HOSPITAL DR STE 801
Glen Burnie, MD 21061
(410) 553-8170
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1457350555
301 HOSPITAL DR SUITE 803
Glen Burnie, MD 21061
(410) 553-8160
✔ PECOS✔ Accepts MedicareSame address
See all 963 clinicians

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 University Of Maryland Community Medical Group, Inc.'s NPI number?

The NPI number for University Of Maryland Community Medical Group, Inc. is 1295367894. It was assigned to this organization in the NPPES registry on February 11, 2020.

Where is University Of Maryland Community Medical Group, Inc. located?

University Of Maryland Community Medical Group, Inc. is located at 301 Hospital Dr, Glen Burnie, MD 21061. The listed phone number is (410) 787-4000.

What is University Of Maryland Community Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is University Of Maryland Community Medical Group, Inc. enrolled in Medicare?

Yes. University Of Maryland Community Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Maryland Community Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 963 clinicians in 49 Medicare specialties reassign their Medicare billing to University Of Maryland Community Medical Group, Inc.. 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. The largest specialties are Nurse Practitioner (215), Obstetrics/Gynecology (79) and Internal Medicine (63). Of these, 79 practice at this address and 209 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for University Of Maryland Community Medical Group, Inc. was last updated on March 6, 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.