University of Maryland Physicians, P.a.
Organization Active NPI Internal Medicine Physician · Baltimore, MD
NPI 1104877075 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1104877075
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1590 - Phone
- (667) 214-1515
- Fax
- (410) 328-8326
- NPI assigned
- May 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF MARYLAND PHYSICIANS, P.A.
Authorized official
- Name
- Kimberly Lingenfelter
- Title
- Credentialing Specialist
- Phone
- (410) 328-8040
Other NPIs on the same Medicare enrollment 11
Practitioners 157
-
Prakash Acharya, MD
-
Elham S. Afshar, M.D.
-
John C. Allen, M.D.
-
Arun V. Amble, MD
-
Mary Anderson, CRNP
-
Sarah Rose Andryauskas, ACAGNP-BC
-
Shante D Barnes, LCSW-C
-
Naresh Bassi, M.D.
-
Mack W. Bell, M.D.
-
Genevieve Beninati, FNP-BC
-
Amy Kramer Borth, ACNP
-
Donald C. Breakey, M.D.
-
Tina Carter, PA
-
Shannon N Cataldi, CRNP
-
Vedansh Chandra, MD
-
Asima S. Cheema, M.D
-
David Tong Chen, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- University of MD Gro Pu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | MD | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X | |||
| Hypertension Specialist Physician |
207RH0005X |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104877075 | Medicaid | DE | |
| 034460902 | Medicaid | DC | |
| 764571600 | Medicaid | MD |
Other names
- UNIV OF MD MED GRP - GIM
Other providers in Baltimore, MD
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
- University of Maryland Physicians, P.a.
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 Apr 11, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.