Active NPI
Lee Elliot Gilman, MSN-AGNP, NP-C, RN
- Primary Care Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R209821
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126407960 | Medicaid | MD | |
| R209821 | Other | MD | MARYLAND 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
Enrollment records 1
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 University
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
| License | State | Type | Specialty |
|---|---|---|---|
| R209821 | MD | MD | Registered Nurse |
| XG4336702 | MD | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | 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
- 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.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba Jhu - Addiction Medicine
- Addiction Medicine (Preventive Medicine) Physician
- Baltimore, MD
- NPI 1942812144
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba JHU Medicine Nephrology
- Nephrology Physician
- Baltimore, MD
- NPI 1376537456
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Baltimore, MD
- NPI 1669551321
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.