Medical Practices of Antietam LLC
NPI 1053119693 · Internal Medicine Physician · Hagerstown, MD
Medical Practices of Antietam LLC is a Internal Medicine Physician organization in Hagerstown, MD (NPI 1053119693).
Provider details
- NPI number
- 1053119693
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joshua Repac, Cfo(301) 790-9351
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Medical Practices of Antietam LLC's NPI number?
- Medical Practices of Antietam LLC's National Provider Identifier (NPI) is 1053119693, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Practices of Antietam LLC?
- Medical Practices of Antietam LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Medical Practices of Antietam LLC located?
- Medical Practices of Antietam LLC's practice location on file with NPPES is 11110 Medical Campus Rd Ste 150, Hagerstown, MD 21742-6755.
- What is Medical Practices of Antietam LLC's phone number?
- The practice phone number listed in the NPPES registry for Medical Practices of Antietam LLC is (301) 665-4825.
- Who is the authorized official for Medical Practices of Antietam LLC?
- The authorized official listed on Medical Practices of Antietam LLC's NPPES record is Joshua Repac, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Practices of Antietam LLC's NPI active?
- Yes — Medical Practices of Antietam LLC's NPI (1053119693) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.