Active NPI
Lydia J Kobziff, ACNP
- Hospitalist Physician
- Baltimore, MD
National Provider Identifier
1093959694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- R11381
- Practice address
- 7601 Osler Dr
University of Maryland St. Joseph Medical Center
Baltimore, MD 21204-7700 - Phone
- (410) 337-1281
- NPI assigned
- Apr 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R11381 | MD | |
| Hospitalist Physician | 208M00000X | R11381 | MD | Primary |
Addresses
Primary practice location
7601 Osler Dr
University of Maryland St. Joseph Medical Center
Baltimore, MD 21204-7700
Mailing address
7601 Osler Drive
University of Maryland St. Joseph Medical Center
Towson, MD 21204
Phone (410) 337-1281
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950234-01 & 02 | Other | MD | BC/BS |
| 417483600 | Medicaid | MD | |
| S062-0349 | Other | MD | BC/BS REGIONAL |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R11381 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
Interoperability endpoints
- lkobziff7131@direct.umm.edu
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.
-
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
- Surgical Assistant
- Towson, MD
- NPI 1053816074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1093959694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 OSLER DRIVE",
"address_2": "UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-337-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 OSLER DR",
"address_2": "UNIVERSITY OF MARYLAND ST. JOSEPH MEDICAL CENTER",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212047700",
"telephone_number": "410-337-1281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBZIFF",
"first_name": "LYDIA",
"middle_name": "J",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R11381",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "R11381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "950234-01 & 02",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417483600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS REGIONAL",
"identifier": "S062-0349",
"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 21, 2019; 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.