Individual provider Active NPI

Shalom Elihu Kelman, MD

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1093853244
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0028905 Issued in MD
Practice address
1777 Reisterstown Rd
Suite 234
Baltimore, MD 21208-1306
Phone
(410) 580-1800
Fax
(410) 580-1700
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0028905 MD Primary

Addresses

Primary practice location

1777 Reisterstown Rd
Suite 234
Baltimore, MD 21208-1306

Mailing address

1777 Reisterstown Rd
Suite 234
Baltimore, MD 21208-1306
Phone (410) 580-1800

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
I20041013000281 MD Practitioner - Ophthalmology 1557321791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1777 Reisterstown Rd
Suite 234
Baltimore, MD 21208-1343
Phone (410) 580-1800

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0028905MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Neuroophthalmology, LLC Ophthalmology CurrentSince Nov 4, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1777 Reisterstown Rd
Ste 234
Pikesville, MD 21208
Phone (410) 580-1800

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1093853244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "address_2": "SUITE 234",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081306",
            "telephone_number": "410-580-1800",
            "fax_number": "410-580-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 REISTERSTOWN RD",
            "address_2": "SUITE 234",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081306",
            "telephone_number": "410-580-1800",
            "fax_number": "410-580-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELMAN",
        "first_name": "SHALOM",
        "middle_name": "ELIHU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0028905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.