NPIMap

Individual provider Active NPI

Susan S Meltzer, M.D.

  • Internal Medicine Physician
  • Timonium, MD
National Provider Identifier
1073556429
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D42410 Issued in MD
Practice address
12221-3 Tullamore Road
Med. Care Center at Mays Chapel
Timonium, MD 21093-7816
Phone
(410) 308-7808
Fax
(410) 308-7809
NPI assigned
Jun 14, 2006
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D42410 MD Primary
Pulmonary Disease Physician 207RP1001X D42410 MD

Addresses

Primary practice location

12221-3 Tullamore Road
Med. Care Center at Mays Chapel
Timonium, MD 21093-7816

Mailing address

2401 W Belvedere Ave
Attn: Credentialing
Baltimore, MD 21215-5216
Phone (410) 601-5524

Other identifiers 1

IdentifierTypeStateIssuer
194101100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000406 MD Practitioner - Internal Medicine 2961403167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 W Belvedere Ave
Hospitalist Office
Baltimore, MD 21215-5216
Phone (410) 601-0594

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D42410MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore Inc Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Oct 1, 2011 Accepting new patients
Chesapeake Urology Associates, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2401 W Belvedere Ave
Ofc
Baltimore, MD 21215
Phone (410) 601-1544

2435 W Belvedere Ave
Ste 23
Baltimore, MD 21215
Phone (410) 578-8224

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

12221 Tullamore Rd
Timonium, MD 21093
Phone (410) 308-7840

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.

Hospital & facility affiliations 10

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1073556429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "ATTN: CREDENTIALING",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5524",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221-3 TULLAMORE ROAD",
            "address_2": "MED. CARE CENTER AT MAYS CHAPEL",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937816",
            "telephone_number": "410-308-7808",
            "fax_number": "410-308-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D42410",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D42410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194101100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.