Medical Practices of Antietam, LLC
NPI 1558430843 · General Practice Physician · Hagerstown, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medical Practices of Antietam, LLC is a General Practice Physician organization in Hagerstown, MD (NPI 1558430843).
Provider details
- NPI number
- 1558430843
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joshua Repac, Cfo(301) 790-9351
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2022-10-26
- Certified
- 2022-10-26
Frequently asked questions
- What is Medical Practices of Antietam, LLC's NPI number?
- Medical Practices of Antietam, LLC's National Provider Identifier (NPI) is 1558430843, 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 General Practice 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 Road, Hagerstown, MD 21742.
- 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) 665-4531.
- Does Medical Practices of Antietam, LLC accept Medicare?
- Medical Practices of Antietam, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1558430843) is active in the NPPES registry as of the last update on 2022-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.