Sailu Ghimire, MD
Individual provider Active NPI Internal Medicine Physician · Baltimore, MD
NPI 1104200906 · NPPES record last updated Jun 12, 2018
Key facts
- NPI
- 1104200906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D85447 (MD)
- Practice address
- 2323 Orleans St
Baltimore, MD 21224 - Phone
- (410) 558-4747
- Fax
- (410) 732-0185
- NPI assigned
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baltimore Medical System, Inc.
Practice addresses (Care Compare)
5525 Eastern Ave
Suite 301
Baltimore, MD 21224-2796
Phone (410) 558-4804
Hospital & facility affiliations
- Saint Agnes Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180622000608 | MD | Practitioner - Internal Medicine | 8325345242 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D85447 | MD | MD | Internal Medicine Physician |
| P3-1987 | MD | MD | Internal Medicine Physician |
Interoperability endpoints
- sailu.ghimire.d1.p1@direct.bmsi.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P3-1987 | MD | |
| Internal Medicine Physician | 207R00000X | D85447 | MD | Yes |
Addresses
Primary practice location
2323 Orleans St
Baltimore, MD 21224
Mailing address
3501 Sinclair LN
Baltimore, MD 21213-2029
Phone (410) 732-8800
Other practice location 1
900 S Caton Ave
Baltimore, MD 21229-5201
Phone (443) 743-5262
Other providers in Baltimore, MD
- Ioana Gheorghiu
- Gatr-Alnada Gheriani
- Michelle Ghert
- Shayan Gheshlaghi
- Gabriel Ghiaur
- Julianne Sunhe Ghiorzi
- Munjonoh Winifred Ghogomu
- Orah Gholian
- Ayiana Gholson
- Amgad Ghoprial
All providers in Baltimore, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.