Individual provider Active NPI

Peggy Rechthand Lazerow, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Baltimore, MD
National Provider Identifier
1063706752
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
D81678 Issued in MD
Practice address
5051 Greenspring Ave
Baltimore, MD 21209-4354
Phone
(410) 601-8300
Fax
(410) 601-8227
NPI assigned
May 31, 2011
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P26510 MD
Neurology Physician 2084N0400X D81678 MD
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X D81678 MD Primary

Addresses

Primary practice location

5051 Greenspring Ave
Baltimore, MD 21209-4354

Mailing address

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Other practice location 1

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9368

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
I20170703000752 MD Practitioner - NeurologyPractitioner - Pediatric Medicine 9133413016 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P26510MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatrics Assoc PA CurrentSince Sep 1, 2023 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Sep 1, 2023 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Mar 27, 2017 Accepting new patients
Sinai Hospital of Baltimore, Inc Neurology With Special Qualifications in Child Neurology CurrentSince Mar 27, 2017 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics Current Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Feb 20, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5051 Greenspring Ave
Ste 202
Baltimore, MD 21209

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1302 Bellona Ave
Lutherville Timonium, MD 21093
Phone (410) 825-6810

Interoperability endpoints

  • Direct secure messaging: plazerow1060274@direct.umm.edu
  • Direct secure messaging: plazerow43868@direct.kennedykrieger.org

Organizations & group practices 8

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1063706752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094354",
            "telephone_number": "410-601-8300",
            "fax_number": "410-601-8227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-601-9368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZEROW",
        "first_name": "PEGGY",
        "middle_name": "RECHTHAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "P26510",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D81678",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MD",
            "license": "D81678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.