NPIMap

Organization Active NPI

Medstar Physician Partners

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
National Provider Identifier
1063456549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MEDSTAR PHYSICIAN PARTNERS
Practice address
107 Beacon Rd
Baltimore, MD 21220-3504
Phone
(410) 686-9019
Fax
(410) 687-1975
NPI assigned
Jun 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patricia Rabello Freire Ayres, MD
Title
Internal Mediacl Doctor
Phone
(410) 686-9019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

107 Beacon Rd
Baltimore, MD 21220-3504

Mailing address

107 Beacon Rd
Baltimore, MD 21220-3504
Phone (410) 686-9019

National Provider Directory

National Provider Directory
Tax ID family
Helixcare Medical Group LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063456549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BEACON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203504",
            "telephone_number": "410-686-9019",
            "fax_number": "410-687-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BEACON RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203504",
            "telephone_number": "410-686-9019",
            "fax_number": "410-687-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR PHYSICIAN PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "RABELLO FREIRE",
        "authorized_official_title_or_position": "INTERNAL MEDIACL DOCTOR",
        "authorized_official_telephone_number": "410-686-9019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.