Individual provider Active NPI

Erika M Nigam, RPA-C

  • Surgical Physician Assistant
  • Baltimore, MD
National Provider Identifier
1013220110
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0010-04220 Issued in NC
Practice address
2435 W. Belvedere Avenue
Hoffberger Building, Suite 32
Baltimore, MD 21215
Phone
(410) 601-0900
Fax
(410) 601-0901
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 014066 NY
Surgical Physician Assistant 363AS0400X 0010-04220 NC Primary

Addresses

Primary practice location

2435 W. Belvedere Avenue
Hoffberger Building, Suite 32
Baltimore, MD 21215

Mailing address

PO Box 602478
Charlotte, NC 28260-2478
Phone (704) 403-6100

Other identifiers 2

IdentifierTypeStateIssuer
1013220110MedicaidNC
1662PAMedicaidSC

Other names 1

  • Erika Gordon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222000399 MD Practitioner - Physician Assistant 6608018072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2435 W Belvedere Ave
Baltimore, MD 21215-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-04220NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jun 8, 2020 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jun 8, 2020 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jan 9, 2017 Accepting new patients

Locations

2435 W Belvedere Ave
Ste 32
Baltimore, MD 21215
Phone (410) 578-8300

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1013220110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602478",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602478",
            "telephone_number": "704-403-6100",
            "fax_number": "704-403-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 W. BELVEDERE AVENUE",
            "address_2": "HOFFBERGER BUILDING, SUITE 32",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-601-0900",
            "fax_number": "410-601-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGAM",
        "first_name": "ERIKA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "014066",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-04220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013220110",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1662PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "GORDON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.