Individual provider Active NPI

Lee Elliot Gilman, MSN-AGNP, NP-C, RN

  • Primary Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1033644554
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R209821 Issued in MD
Practice address
5200 Eastern Ave BLDG East2Nd
Baltimore, MD 21224-2734
Phone
(410) 550-2999
Fax
(410) 367-2442
NPI assigned
Apr 21, 2017
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R209821 MD
Primary Care Nurse Practitioner 363LP2300X R209821 MD Primary
Registered Nurse 163W00000X R209821 MD
Addiction Medicine (Family Medicine) Physician 207QA0401X XG4336702 MD

Addresses

Primary practice location

5200 Eastern Ave BLDG East2Nd
Baltimore, MD 21224-2734

Mailing address

5200 Eastern Ave BLDG East
Baltimore, MD 21224-2734
Phone (410) 550-2999

Other practice location 1

1200 E Fayette St
Baltimore, MD 21202-4721
Phone (410) 396-9410

Other practice location 2

2601 N Howard St Ste 220
Baltimore, MD 21218-4666
Phone (443) 838-5593

Other identifiers 2

IdentifierTypeStateIssuer
126407960MedicaidMD
R209821OtherMDMARYLAND BOARD OF NURSING LICENSE

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
I20170831000301 MD Practitioner - Nurse Practitioner 2163795857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, shared by 12 NPIs, 2,886 clinicians

Practice addresses (Care Compare)

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000

5200 Eastern Ave E Tower 2ND Flo
Baltimore, MD 21224-2734
Phone (410) 550-2999

5200 Eastern Avenue E Tower
2ND Floor
Baltimore, MD 21224-2734
Phone (410) 550-2395

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-4714

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R209821MDMDRegistered Nurse
XG4336702MDMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 10, 2017 Accepting new patients
Johns Hopkins University CurrentSince Jul 10, 2017 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

5200 Eastern Ave
Bldg E
Baltimore, MD 21224
Phone (410) 550-0004

5200 Eastern Ave
Bldg EAST2ND
Baltimore, MD 21224
Phone (410) 550-2999

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

Interoperability endpoints

  • Direct secure messaging: lgilman153550@direct.hopkinsmedicine.org

Organizations & group practices 5

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

Hospital & facility affiliations 4

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033644554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE BLDG EAST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242734",
            "telephone_number": "410-550-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE BLDG EAST2ND",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242734",
            "telephone_number": "410-550-2999",
            "fax_number": "410-367-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Fayette St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212024721",
            "country_code": "US",
            "telephone_number": "410-396-9410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 N Howard St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212184666",
            "country_code": "US",
            "telephone_number": "443-838-5593",
            "fax_number": "410-367-5879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "LEE",
        "middle_name": "ELLIOT",
        "name_prefix": "Mr.",
        "credential": "MSN-AGNP, NP-C, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-21",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R209821",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R209821",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R209821",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MD",
            "license": "XG4336702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126407960",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF NURSING LICENSE",
            "identifier": "R209821",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.