Individual provider Active NPI

Stephen Laiken, MD

  • Internal Medicine Physician
  • Hampstead, MD
National Provider Identifier
1093700809
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D-0022517 Issued in MD
Practice address
4111 Lower Beckleysville Rd
Ste C
Hampstead, MD 21074-2248
Phone
(410) 374-0808
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D-0022517 MD Primary

Addresses

Primary practice location

4111 Lower Beckleysville Rd
Ste C
Hampstead, MD 21074-2248

Mailing address

4111 Lower Beckleysville Rd
Ste C
Hampstead, MD 21074-2248
Phone (410) 374-0808

Other identifiers 1

IdentifierTypeStateIssuer
786441800MedicaidMD

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
I20100722000372 MD Practitioner - Internal Medicine 6002948395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LP 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

4111 Lower Beckleysville Rd
Suite C
Hampstead, MD 21074-2248
Phone (410) 374-0808

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions12
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D-0022517MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Laiken, MD, PA Internal Medicine CurrentSince Feb 13, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4111 Lower Beckleysville Rd
Ste C
Hampstead, MD 21074
Phone (410) 374-0808

4111 Lower Beckleysville Rd
Hampstead, MD 21074
Phone (301) 374-4488

4111 Lower Beckleysville Rd
Ste 4
Hampstead, MD 21074
Phone (410) 374-0808

1005 S Main St
Ste A
Hampstead, MD 21074
Phone (410) 374-0808

Interoperability endpoints

  • Direct secure messaging: stephen.laiken.1@27340.direct.athenahealth.com

Organizations & group practices 3

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1093700809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 LOWER BECKLEYSVILLE RD",
            "address_2": "STE C",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742248",
            "telephone_number": "410-374-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 LOWER BECKLEYSVILLE RD",
            "address_2": "STE C",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742248",
            "telephone_number": "410-374-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIKEN",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D-0022517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786441800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, MD

Sources for this page

Verify at the official NPI Registry.