Individual provider Active NPI

Sheldon Tajerstein, DPM

  • Podiatrist
  • Baltimore, MD
National Provider Identifier
1073688750
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0642 Issued in MD
Practice address
2835 Smith Ave
Baltimore, MD 21209-1453
Phone
(410) 580-0900
Fax
(410) 788-7785
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0642 MD Primary

Addresses

Primary practice location

2835 Smith Ave
Baltimore, MD 21209-1453

Mailing address

2835 Smith Ave Ste 353
Baltimore, MD 21209-1453
Phone (410) 788-6633

Other identifiers 1

IdentifierTypeStateIssuer
325658802MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120210000376 MD Practitioner - Podiatry 8628181328 Practice locations: Baltimore, MD; Boonsboro, MD; Columbia, MD; Essex, MD; Frostburg, MD; Laurel, MD; Salisbury, MD; Towson, MD
I20170331000045 DC Practitioner - Podiatry 8628181328 Practice locations: Laurel, MD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2835 Smith Ave
Suite 207
Baltimore, MD 21209-1462
Phone (410) 788-6633

5411 Old Frederick Rd
Suite 10
Baltimore, MD 21229-2126
Phone (410) 788-6633

701 Edmondson Ave
Forest Haven
Baltimore, MD 21228-4443
Phone (410) 747-7425

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue4387
Removal or shaving of skin growth371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0642MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pedorthics, LLC. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1073688750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE STE 353",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091453",
            "telephone_number": "410-788-6633",
            "fax_number": "410-580-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091453",
            "telephone_number": "410-580-0900",
            "fax_number": "410-788-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJERSTEIN",
        "first_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "0642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325658802",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.