NPIMap

Organization Active NPI

Sinai Hospital of Baltimore, Inc

  • Surgical Oncology Physician
  • Baltimore, MD
National Provider Identifier
1073880183
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
30-062 Issued in MD
Legal business name
SINAI HOSPITAL OF BALTIMORE, INC
Practice address
2401 W Belvedere Ave
Lapidus Cancer Institute
Baltimore, MD 21215-5216
Phone
(410) 601-8317
Fax
(410) 601-9345
NPI assigned
Nov 18, 2011
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SINAI HOSPITAL OF BALTIMORE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Mr. Charles B Efird
Title
Director
Phone
(410) 601-7019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X 30-062 MD Primary

Addresses

Primary practice location

2401 W Belvedere Ave
Lapidus Cancer Institute
Baltimore, MD 21215-5216

Mailing address

2401 W Belvedere Ave
Lapidus Cancer Institute
Baltimore, MD 21215-5216
Phone (410) 601-8317

Other names 1

  • Surgical Oncology Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000658 MD Part B Supplier - Clinic/Group Practice 0941112346 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
Practice locations: Columbia, MD; Baltimore, MD

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Sinai Ophthalmolgy Asso

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1073880183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "LAPIDUS CANCER INSTITUTE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-8317",
            "fax_number": "410-601-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "LAPIDUS CANCER INSTITUTE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-8317",
            "fax_number": "410-601-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINAI HOSPITAL OF BALTIMORE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINAI HOSPITAL OF BALTIMORE, INC",
        "enumeration_date": "2011-11-18",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "EFIRD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-601-7019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "MD",
            "license": "30-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Oncology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.