Individual provider Active NPI

Shyam Majmundar, MD

  • Vascular Neurology Physician
  • Baltimore, MD
National Provider Identifier
1043748916
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
D0100218 Issued in MD
Practice address
22 S Greene St RM S2Ax19
Baltimore, MD 21201-1590
Phone
(410) 328-8621
NPI assigned
May 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0100218 MD
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084V0102X D0100218 MD Primary

Addresses

Primary practice location

22 S Greene St RM S2Ax19
Baltimore, MD 21201-1590

Mailing address

22 S Greene St RM S2Ax19
Baltimore, MD 21201-1590
Phone (410) 328-8621

Other practice location 1

901 Walnut St Fl 4
Philadelphia, PA 19107-5214
Phone (215) 955-9425

Other practice location 2

1350 Locust St Ste 105
Pittsburgh, PA 15219-4738
Phone (412) 647-7001

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317000335 MD Practitioner - Neurology 3971871294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Neurosurgery Associates P a 24 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6034

255 Hospital Dr
Suite 208
Glen Burnie, MD 21061-5801
Phone (410) 553-8160

419 W Redwood St
Suite 410
Baltimore, MD 21201-1734
Phone (410) 328-6034

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0100218MDMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Neurosurgery Associates P a Multi-Specialty CurrentSince Dec 15, 2024 Accepting new patients

Locations

22 S Greene St
Rm S2AX19
Baltimore, MD 21201
Phone (410) 328-8621

22 S Greene St
Ste 12D
Baltimore, MD 21201
Phone (410) 328-6034

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

22 S Greene St
#S12D
Baltimore, MD 21201
Phone (410) 328-8621

419 W Redwood St
Ste 225
Baltimore, MD 21201
Phone (667) 214-1576

9333 Healthcare Way
#A3A100
Upper Marlboro, MD 20774

Interoperability endpoints

  • Direct secure messaging: smajmundar1167847@direct.umm.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1043748916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST RM S2AX19",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011590",
            "telephone_number": "410-328-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST RM S2AX19",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011590",
            "telephone_number": "410-328-8621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Walnut St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075214",
            "country_code": "US",
            "telephone_number": "215-955-9425",
            "fax_number": "215-503-4347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Locust St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152194738",
            "country_code": "US",
            "telephone_number": "412-647-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAJMUNDAR",
        "first_name": "SHYAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-23",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0100218",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MD",
            "license": "D0100218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.