Active NPI
Martin Y Magram, M.D.
- Nuclear Radiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- D15540
- Practice address
- 3611 Gardenview Rd
Baltimore, MD 21208-1511 - Phone
- (301) 733-1031
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | D15540 | MD | Primary |
Addresses
Primary practice location
3611 Gardenview Rd
Baltimore, MD 21208-1511
Mailing address
3611 Gardenview Rd
Baltimore, MD 21208-1511
Phone (301) 733-1031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 789581000 | Medicaid | MD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Services, LLC | Current | Accepting new patients | |
| Associated Radiologists, PA | Current | Accepting new patients | |
| David L Bloom PA | Past | Accepting new patients | |
| Shipley's Imaging, LLC | Past | Accepting new patients | |
| David L Bloom PA | Past | Accepting new patients | |
| University Imaging Center, LLC | Nuclear Radiology | Past | Accepting new patients |
| University Imaging Center, LLC | Nuclear Radiology | Past | Accepting new patients |
| University of Maryland Diagnostic Imaging Specialists P a | Nuclear Radiology | Past | Accepting new patients |
Locations
22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656
11110 Medical Campus Rd
Ste 245
Hagerstown, MD 21742
Phone (301) 714-4200
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
322 E Antietam St
Ste 106
Hagerstown, MD 21740
10715 Downsville Pike
Ste 103
Hagerstown, MD 21740
Phone (240) 313-9940
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 and National Provider Directory roles.
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- Hagerstown, MD
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- NPI 1114982808
-
dba Accesible MRI of Baltimore County
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- NPI 1336132901
-
dba Seabrook Radiological Center
- Diagnostic Radiology Physician
- Seabrook, MD
- NPI 1396738704
-
- Diagnostic Radiology Physician
- Millersville, MD
- NPI 1861476343
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1245245307
Nuclear Radiology
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1992511265
Nuclear Radiology
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- Diagnostic Radiology Physician
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Nuclear Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1073611901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 GARDENVIEW RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212081511",
"telephone_number": "301-733-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 GARDENVIEW RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212081511",
"telephone_number": "301-733-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGRAM",
"first_name": "MARTIN",
"middle_name": "Y",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "MD",
"license": "D15540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "789581000",
"state": "MD"
}
],
"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 Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.