OPAL MEDICAL GROUP, P.A.
NPI 1477639862
Internal Medicine in Hagerstown, MD
About Opal Medical Group, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPAL MEDICAL GROUP, P.A. (NPI 1477639862) is a healthcare organization registered as an internal medicine in Hagerstown, Maryland and active in the NPI registry since October 2006. The organization lists Amy Renee Hose, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Opal Medical Group, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Opal Medical Group, P.A., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 Opal Medical Group, P.A.'s NPI number?
The NPI number for Opal Medical Group, P.A. is 1477639862. It was assigned to this organization in the NPPES registry on October 27, 2006.
Where is Opal Medical Group, P.A. located?
Opal Medical Group, P.A. is located at 1126 Opal Court, Hagerstown, MD 21740. The listed phone number is (240) 420-2666.
What is Opal Medical Group, P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Opal Medical Group, P.A. enrolled in Medicare?
Yes. Opal Medical Group, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Opal Medical Group, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Opal Medical Group, P.A.. 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 (9) and Internal Medicine (2). Of these, 5 practice at this address and 6 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 Opal Medical Group, P.A. was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Opal Medical Group, P.a. · NPI 1477639862
Internal Medicine organization in Hagerstown, Maryland. Organization record, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1477639862 (Entity type: Organization)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Amy Hose, OFFICE MANAGER
## Practice location
- **Address:** 1126 OPAL COURT, Hagerstown, MD 21740
- **Phone:** (240) 420-2666 · **Fax:** (240) 420-0951
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Internal Medicine (2); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 742M (MD); Medicaid 404343000 (MD); Medicare UPIN G86887
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Source: [NPI Profile](https://npiprofile.com/npi/1477639862) · Data from the CMS NPPES public registry.