NPIMap

Organization Active NPI

University of Maryland Physicians, P.a.

Doing business as Univ of MD Med GRP - Gim

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1104877075
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
Doing business as
Univ of MD Med GRP - Gim
Practice address
22 S Greene St
Baltimore, MD 21201-1590
Phone
(667) 214-1515
Fax
(410) 328-8326
NPI assigned
May 15, 2006
Last updated
Apr 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF MARYLAND PHYSICIANS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Kimberly Lingenfelter
Title
Credentialing Specialist
Phone
(410) 328-8040

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD
Hypertension Specialist Physician 207RH0005X
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1590

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-8040

Other practice location 1

827 Linden Ave
Baltimore, MD 21201-4606
Phone (667) 214-1515

Other practice location 2

16 S Eutaw St Ste 200
Baltimore, MD 21201-1626
Phone (667) 214-1515

Other practice location 3

419 W Redwood St Ste 600
Baltimore, MD 21201-7000
Phone (667) 214-1515

Other practice location 4

5 Park Center Ct Ste 201
Owings Mills, MD 21117-4202
Phone (667) 214-1515

Other identifiers 3

IdentifierTypeStateIssuer
764571600MedicaidMD
034460902MedicaidDC
1104877075MedicaidDE

Other names 1

  • UNIV OF MD MED GRP - GIM Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000792 MD Part B Supplier - Clinic/Group Practice 2769394808 Receives reassigned benefits from 634 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Part of
Univ of MD Med GRP

Locations

16 S Eutaw St
Ste 200
Baltimore, MD 21201
Phone (410) 328-2477

419 W Redwood St
Bldg Gim
Baltimore, MD 21201
Phone (410) 328-5196

Practitioners & affiliated clinicians

Practitioners 157

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 157

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1104877075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-8040",
            "fax_number": "410-328-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011590",
            "telephone_number": "667-214-1515",
            "fax_number": "410-328-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212014606",
            "country_code": "US",
            "telephone_number": "667-214-1515",
            "fax_number": "410-328-8326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 S Eutaw St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011626",
            "country_code": "US",
            "telephone_number": "667-214-1515",
            "fax_number": "410-328-8326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 W Redwood St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212017000",
            "country_code": "US",
            "telephone_number": "667-214-1515",
            "fax_number": "410-328-8329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Park Center Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211174202",
            "country_code": "US",
            "telephone_number": "667-214-1515",
            "fax_number": "410-328-8326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND PHYSICIANS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF MARYLAND PHYSICIANS, P.A.",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "LINGENFELTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "410-328-8040"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "764571600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034460902",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104877075",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIV OF MD MED GRP - GIM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 11, 2023; 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.