AMERIGROUP MARYLAND, INC.
NPI 1992789119
Health Maintenance Organization in Hanover, MD

NPI Status: Active since December 01, 2005

Contact Information

7550 TEAGUE RD
SUITE 500
HANOVER, MD
ZIP 21076
Phone: (410) 859-5800
Fax: (410) 981-4010

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About AMERIGROUP MARYLAND, INC.

This page provides the complete NPI Profile along with additional information for Amerigroup Maryland, Inc., a provider established in Hanover, Maryland operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1992789119 assigned on December 2005. The practitioner's primary taxonomy code is 302R00000X with license number 4017 (MD). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Vincent Michael Ancona (President And Ceo)

NPI
1992789119
Provider Name
AMERIGROUP MARYLAND, INC.
Entity Type
Organization
Location Address
7550 TEAGUE RD SUITE 500 HANOVER, MD 21076
Location Phone
(410) 859-5800
Location Fax
(410) 981-4010
Mailing Address
7550 TEAGUE RD SUITE 500 HANOVER, MD 21076
Mailing Phone
(410) 859-5800
Mailing Fax
(410) 981-4010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2005
Last Update Date
07-28-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
4017
License State
MD
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VINCENT MICHAEL ANCONA

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(410) 981-4001

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
510300299MEDICAID (05)MD 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992789119, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 4 + 8 + 1 + 8 + 1 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1992789119.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Optometrist
7550 TEAGUE RD, SUITE 105
HANOVER, MD 21076
Pediatrics
7550 TEAGUE RD, 500
HANOVER, MD 21076
Clinic/Center (Ambulatory Surgical)
7550 TEAGUE RD, SUITE 105
HANOVER, MD 21076
Optometrist
7550 TEAGUE RD, SUITE 114
HANOVER, MD 21076
Pharmacist
7550 TEAGUE RD
HANOVER, MD 21076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992789119, enumerated as an "organization" on December 01, 2005.

The provider is located at 7550 TEAGUE RD SUITE 500 HANOVER, MD 21076 and the phone number is (410) 859-5800.

Health Maintenance Organization with taxonomy code 302R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.