Individual provider Active NPI

Emerita Guadalupe Portillo Garcia, MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1053058883
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0103462 Issued in MD
Practice address
1017 E Baltimore St
Baltimore, MD 21202-4705
Phone
(410) 826-0170
Fax
(410) 826-0195
NPI assigned
May 13, 2022
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0103462 MD Primary

Addresses

Primary practice location

1017 E Baltimore St
Baltimore, MD 21202-4705

Mailing address

4 Senta CT
Baltimore, MD 21207-3959
Phone (443) 926-7880

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
I20251003003566 MD Practitioner - Family Practice 8123409471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GBMC Health Partners at Helping Up Mission, LLCGroup PAC ID 1850624347, 3 clinicians

Practice addresses (Care Compare)

1017 E Baltimore St Ground FL
GBMC Health Partners at Jonestown
Baltimore, MD 21202-4705
Phone (410) 826-0170

6701 N Charles St
Baltamore, MD 21204-6808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0103462MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GBMC Health Partners at Helping Up Mission, LLC CurrentSince Aug 18, 2025 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients

Locations

1017 E Baltimore St
Baltimore, MD 21202
Phone (410) 581-3900

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

Interoperability endpoints

  • Direct secure messaging: eportillogarcia173457@uihealth.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1053058883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SENTA CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212073959",
            "telephone_number": "443-926-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024705",
            "telephone_number": "410-826-0170",
            "fax_number": "410-826-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO GARCIA",
        "first_name": "EMERITA",
        "middle_name": "GUADALUPE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0103462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.