OrganizationActive
University of Maryland Baltimore
NPI 1336515519 · Primary Care Clinic/Center · Hyattsville, MD
Provider details
- NPI number
- 1336515519
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Antol, Program Director(410) 706-5395
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs 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
8011 New Hampshire Ave
Mobile Unit
Hyattsville, MD 20783-4612
Phone: (866) 228-9668
Fax: (410) 706-5145
Street-level locationGet directions
Mailing address
655 W Lombard St
Baltimore, MD 21201-1512
Other names (DBA / former)
- Other name
- Governor'S Wellmobile Program
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2015-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.