NPIMap

Individual provider Active NPI

Sidney Nelson III, M.D.

  • Internal Medicine Physician
  • Pikesville, MD
National Provider Identifier
1033152541
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D63298 Issued in MD
Practice address
1840 Reisterstown Rd
Pikesville, MD 21208-1305
Phone
(757) 222-0300
Fax
(757) 956-9806
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X D63298 MD
Internal Medicine Physician 207R00000X D63298 MD Primary

Addresses

Primary practice location

1840 Reisterstown Rd
Pikesville, MD 21208-1305

Mailing address

2900 Sabre St Ste 300
Virginia Beach, VA 23452-7380
Phone (757) 222-0300

Other practice location 1

2435 W Belvedere Ave
Suite 35
Baltimore, MD 21215-5224
Phone (410) 601-6846

Other identifiers 3

IdentifierTypeStateIssuer
409172800MedicaidMD
CA8374OtherMDR/R MEDICARE GROUP #
P00309490OtherMDR/R MEDICARE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060125000976 MD Practitioner - Internal Medicine 4082628300 Reassigns benefits to 5 organizations
I20170612001025 DC Practitioner - Internal Medicine 4082628300 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Home Development GroupGroup PAC ID 0244468114, 4 clinicians
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Primedocs PCGroup PAC ID 9436506599, 17 clinicians

Practice addresses (Care Compare)

2112 F St NW
Suite 504
Washington, DC 20037-2761
Phone (843) 554-2530

301 Saint Paul St
Suite 409
Baltimore, MD 21202-2102
Phone (410) 659-7041

5500 Knoll N Dr
Suite 220
Columbia, MD 21045-2362
Phone (410) 730-7040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.84

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D63298MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 25, 2005 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Medical Home Development Group CurrentSince May 9, 2017 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
Primedocs PC CurrentSince Jan 2, 2024 Accepting new patients
Sinai Hospital of Baltimore Inc Internal Medicine CurrentSince Jul 25, 2005 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Sep 18, 2017 Accepting new patients
McFarland & Associates Inc. CurrentSince Sep 24, 2020 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Partners in Care Network PastSince Oct 31, 2021 Accepting new patients

Locations

2112 F St NW
Ste 504
Washington, DC 20037
Phone (202) 293-6458

4228 Wisconsin Ave NW
Ste A
Washington, DC 20016
Phone (202) 684-2784

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

2435 W Belvedere Ave
Ste 35
Baltimore, MD 21215
Phone (410) 601-0900

7307 MacArthur Blvd
Ste 207
Bethesda, MD 20816
Phone (301) 701-6060

5500 Knoll North Dr
Ste 200
Columbia, MD 21045
Phone (301) 251-8611

5450 Knoll North Dr
Ste 160
Columbia, MD 21045

5500 Knoll North Dr
Ste 220
Columbia, MD 21045
Phone (410) 730-7040

5450 Knoll North Dr
Ste 180
Columbia, MD 21045
Phone (410) 730-7040

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

4975 Lacross Rd
Ste 151
North Charleston, SC 29406

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: snelsoniii@maai-md.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/28788/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: sidneynelson.medicalhomedevelopmentgroup@147716.advancedmd-direct.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1033152541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SABRE ST STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527380",
            "telephone_number": "757-222-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081305",
            "telephone_number": "757-222-0300",
            "fax_number": "757-956-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 W Belvedere Ave",
            "address_2": "Suite 35",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155224",
            "country_code": "US",
            "telephone_number": "410-601-6846",
            "fax_number": "410-601-5789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SIDNEY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D63298",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D63298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409172800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE GROUP #",
            "identifier": "CA8374",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE PROVIDER #",
            "identifier": "P00309490",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.