BACKPACK MEDICAL GROUP, P.C.
NPI 1851177570
Social Worker - Clinical in Elkridge, MD

Active since September 07, 2023
6655 SANTA BARBARA RD UNIT 8574, ELKRIDGE, MD 21075(866) 968-6342(855) 615-2876 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2025, Dec 10, 2024, Nov 18, 2024 and 2 more (5 updates tracked since 2023).

About Backpack Medical Group, P.c. NPPES

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

BACKPACK MEDICAL GROUP, P.C. (NPI 1851177570) is a healthcare organization registered as a clinical in Elkridge, Maryland and active in the NPI registry since September 2023. The organization maintains 2 additional practice locations and lists Duke Ruktanonchai, President/owner, as its authorized official.

NPPES Registry Identity

NPI1851177570
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBACKPACK MEDICAL GROUP, P.C.
Location Address6655 SANTA BARBARA RD UNIT 8574Elkridge, MD 21075-7523
Mailing Address6655 Santa Barbara Rd Unit 8574Elkridge, MD 21075-7523 · (630) 306-4394
Fax(855) 615-2876
Organization SubpartNo
Authorized OfficialDuke RuktanonchaiPresident/owner · (630) 306-4394
Enumeration DateSeptember 7, 2023
Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1851177570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
6655 SANTA BARBARA RD UNIT 8574, Elkridge, MD 21075

Secondary Practice Locations 2

Location 12810 E Oakland Park Blvd Ste 200-14Fort Lauderdale, FL 33306-1801 · Phone (866) 968-6342
Location 2191 Peachtree St NE Ste 1400Atlanta, GA 30303-1749 · Phone (866) 968-6342

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Backpack Medical Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

67

Medicare enrollment records show 67 clinicians reassign Medicare billing to Backpack Medical Group, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker26
Nurse Practitioner22
Mental Health Counselor17
Marriage and Family Therapist1
Pediatric Medicine1

Nearest to this location (20)

See all 67
Mental Health Counselor
NPI 1871357731
6655 SANTA BARBARA RD UNIT 8574
Elkridge, MD 21075
(866) 968-6342
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1952992505
6655 SANTA BARBARA RD UNIT 8574
Elkridge, MD 21075
(866) 968-6342
✔ PECOSSame address
Clinical Social Worker
NPI 1619595477
6655 SANTA BARBARA RD
Elkridge, MD 21075
(866) 968-6342
✔ PECOSSame address
Nurse Practitioner
NPI 1598482721
6655 SANTA BARBARA RD
Elkridge, MD 21075
(866) 968-6342
✔ PECOSSame address
Mental Health Counselor
NPI 1568175032
6655 SANTA BARBARA RD UNIT 8574
Elkridge, MD 21075
(866) 968-6342
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1902481997
6655 SANTA BARBARA RD UNIT 8574
Elkridge, MD 21075
(540) 687-0316
✔ PECOSSame address
Clinical Social Worker
NPI 1821675596
5920 DEBORAH JEAN DR
Elkridge, MD 21075
(301) 388-5069
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1881573970
5560 STERRETT PL STE 201
Columbia, MD 21044
(443) 546-4000
✔ PECOS6.2 mi
Clinical Social Worker
NPI 1619836574
8624 ACCOKEEK ST
Laurel, MD 20724
(202) 743-1239
✔ PECOS7.1 mi
Clinical Social Worker
NPI 1245898014
10003 RUFFIAN WAY STE B
Laurel, MD 20723
(240) 706-0748
✔ PECOS7.3 mi
Nurse Practitioner
NPI 1104563006
9609 MASON LN
Laurel, MD 20723
(240) 463-3365
✔ PECOS✔ Accepts Medicare7.5 mi
Nurse Practitioner
NPI 1144686569
7845 OAKWOOD RD STE 205
Glen Burnie, MD 21061
(240) 223-0633
✔ PECOS✔ Accepts Medicare7.8 mi
Mental Health Counselor
NPI 1891370136
7001 JOHNNYCAKE RD STE 101
Baltimore, MD 21244
(866) 968-6342
✔ PECOS8.0 mi
Mental Health Counselor
NPI 1467069781
337 GATEWATER CT APT 203
Glen Burnie, MD 21060
(443) 956-0953
✔ PECOS8.7 mi
Nurse Practitioner
NPI 1982163069
4006 WOOD SWALLOW CT
Burtonsville, MD 20866
(732) 421-6738
✔ PECOS11 mi
Clinical Social Worker
NPI 1326531559
1012 NORTH POINT RD
Baltimore, MD 21224
(443) 216-4800
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1366287385
1101 N POINT BLVD
Baltimore, MD 21224
(410) 328-8667
✔ PECOS✔ Accepts Medicare15 mi
Mental Health Counselor
NPI 1558095836
6802 MCCLEAN BLVD
Baltimore, MD 21234
(410) 444-3800
✔ PECOS16 mi
Clinical Social Worker
NPI 1952683484
5800 ANNAPOLIS RD APT 801
Bladensburg, MD 20710
(410) 504-2776
✔ PECOS✔ Accepts Medicare20 mi
Mental Health Counselor
NPI 1528526571
2204 RITCHIE RD
District Heights, MD 20747
(301) 744-8161
✔ PECOS✔ Accepts Medicare24 mi
See all 67 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 Backpack Medical Group, P.C.'s NPI number?

The NPI number for Backpack Medical Group, P.C. is 1851177570. It was assigned to this organization in the NPPES registry on September 7, 2023.

Where is Backpack Medical Group, P.C. located?

Backpack Medical Group, P.C. is located at 6655 Santa Barbara Rd Unit 8574, Elkridge, MD 21075. The listed phone number is (866) 968-6342.

What is Backpack Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Backpack Medical Group, P.C. enrolled in Medicare?

Yes. Backpack Medical Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Backpack Medical Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 67 clinicians in 5 Medicare specialties reassign their Medicare billing to Backpack Medical Group, P.C.. 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 Clinical Social Worker (26), Nurse Practitioner (22) and Mental Health Counselor (17). Of these, 6 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Backpack Medical Group, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna HealthCare of Arizona, Inc, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Backpack Medical Group, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Backpack Medical Group, P.C. was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.