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UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
NPI 1578360517
Specialist in College Park, MD

Active since February 27, 2025
7251 PREINKERT DRIVE 0110 LEFRAK HALL, COLLEGE PARK, MD 20742(301) 405-4218(301) 314-2023 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Univ Of Maryland Otorhinolaryngology Head & Neck Surgery Pa NPPES

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

UNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA (NPI 1578360517) is a healthcare organization registered as a specialist in College Park, Maryland and active in the NPI registry since February 2025. The organization lists Shavonda L Williams, Corporate Director, as its authorized official.

NPPES Registry Identity

NPI1578360517
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUNIV OF MARYLAND OTORHINOLARYNGOLOGY HEAD & NECK SURGERY PA
Location Address7251 PREINKERT DRIVE 0110 LEFRAK HALLCollege Park, MD 20742-0001
Mailing AddressPo Box 64693Baltimore, MD 21264-4693
Phone(301) 405-4218
Fax(301) 314-2023
Organization SubpartNo
Authorized OfficialShavonda L WilliamsCorporate Director · (667) 214-2507
Enumeration DateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1578360517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7251 PREINKERT DRIVE 0110 LEFRAK HALL, College Park, MD 20742
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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)

Univ Of Maryland Otorhinolaryngology Head & Neck Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Otolaryngology21
Qualified Audiologist7
Nurse Practitioner6
Anesthesiology1
Qualified Speech Language Pathologist1

Nearest to this location (20)

See all 36
Marjohn Rasooly, CRNP
Nurse Practitioner
NPI 1588910426
10 CENTER DR
Bethesda, MD 20892
(301) 402-9831
✔ PECOS8.7 mi
Gabriel Santiago, M.D.
Otolaryngology
NPI 1851608954
1300 CHAIN BRIDGE RD FL 2
Mc Lean, VA 22101
(703) 688-8918
✔ PECOS✔ Accepts Medicare13 mi
Katie Dietrich-Burns, M.S.
Qualified Speech Language Pathologist
NPI 1417188186
6349 BEECHWOOD DR
Columbia, MD 21046
(410) 718-8696
15 mi
Bryan Ambro, MD
Otolaryngology
NPI 1821176017
2002 MEDICAL PKWY SUITE #230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts Medicare22 mi
Natalie Justicz
Otolaryngology
NPI 1144637893
2002 MEDICAL PKWY STE 215
Annapolis, MD 21401
(410) 266-7215
✔ PECOS✔ Accepts Medicare22 mi
Tracey Worsley, FNP
Nurse Practitioner
NPI 1063165728
3449 WILKENS AVE
Baltimore, MD 21229
(410) 525-3818
✔ PECOS✔ Accepts Medicare25 mi
Nicole Nguyen, CCC-A
Qualified Audiologist
NPI 1750513321
22 S GREENE ST
Baltimore, MD 21201
(410) 328-6897
✔ Accepts Medicare27 mi
Rodney Taylor, M.D.
Otolaryngology
NPI 1306853791
22 S GREENE ST
Baltimore, MD 21201
(410) 328-6897
✔ PECOS✔ Accepts Medicare27 mi
Courtney Hicks, CRNP
Nurse Practitioner
NPI 1073174280
22 S GREENE ST
Baltimore, MD 21201
(410) 328-1556
✔ PECOS27 mi
David Eisenman, M.D.
Otolaryngology
NPI 1003818196
16 S EUTAW ST SUITE 500
Baltimore, MD 21201
(410) 328-5828
✔ PECOS✔ Accepts Medicare27 mi
Lauren Gee
Nurse Practitioner
NPI 1851927313
16 S EUTAW ST STE 400
Baltimore, MD 21201
(410) 328-6866
✔ PECOS27 mi
Kyle Hatten, MD
Otolaryngology
NPI 1548588528
16 S EUTAW ST STE 500
Baltimore, MD 21201
(410) 328-3197
✔ PECOS✔ Accepts Medicare27 mi
Ronna Hertzano, MD, PHD
Otolaryngology
NPI 1952426991
16 S EUTAW ST STE 500
Baltimore, MD 21201
(410) 328-1892
✔ PECOS✔ Accepts Medicare27 mi
Adam Kaufman
Otolaryngology
NPI 1114313426
16 S EUTAW ST STE 500
Baltimore, MD 21201
(410) 328-6866
✔ PECOS✔ Accepts Medicare27 mi
Angela Lataille, AU.D.
Qualified Audiologist
NPI 1992742720
16 S EUTAW ST STE 400
Baltimore, MD 21201
(410) 328-5947
✔ Accepts Medicare27 mi
Lachelle Lazarus, AU.D.
Qualified Audiologist
NPI 1982056826
16 S EUTAW ST STE 400
Baltimore, MD 21201
(410) 328-5948
✔ Accepts Medicare27 mi
Kelly Moyer
Otolaryngology
NPI 1629496260
16 S EUTAW ST STE 500
Baltimore, MD 21201
(410) 328-0972
✔ PECOS✔ Accepts Medicare27 mi
Arielle Abrams, AUD
Qualified Audiologist
NPI 1386269850
16 S EUTAW ST STE 400
Baltimore, MD 21201
(410) 328-6866
✔ Accepts Medicare27 mi
Kari-Ann Denny, CRNP
Nurse Practitioner
NPI 1073315693
16 S EUTAW ST STE 400
Baltimore, MD 21201
(410) 328-6866
✔ PECOS27 mi
Madison Rolf, AU.D.
Qualified Audiologist
NPI 1922930197
16 S EUTAW ST STE 400
Baltimore, MD 21201
(410) 328-5948
27 mi
See all 36 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 Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA's NPI number?

The NPI number for Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA is 1578360517. It was assigned to this organization in the NPPES registry on February 27, 2025.

Where is Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA located?

Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA is located at 7251 Preinkert Drive 0110 Lefrak Hall, College Park, MD 20742. The listed phone number is (301) 405-4218.

What is Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA enrolled in Medicare?

Yes. Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 5 Medicare specialties reassign their Medicare billing to Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA. 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 Otolaryngology (21), Qualified Audiologist (7) and Nurse Practitioner (6). Of these, 1 practice 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 Univ Of Maryland Otorhinolaryngology Head & Neck Surgery PA was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.