Individual provider Active NPI

Ira Martin Garonzik, M.D.

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1104894781
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0057725 Issued in MD
Practice address
5051 Greenspring Ave
Suite 101
Baltimore, MD 21209-4354
Phone
(410) 664-3680
Fax
(410) 664-3686
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0057725 MD Primary

Addresses

Primary practice location

5051 Greenspring Ave
Suite 101
Baltimore, MD 21209-4354

Mailing address

5051 Greenspring Ave
Suite 101
Baltimore, MD 21209-4354
Phone (410) 664-3680

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
I20050801000070 MD Practitioner - NeurosurgeryPractitioner - Interventional Pain Management 5395773485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Interventional Pain Management
Education
Emory University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Ira M. Garonzik, M.D., P.a.Group PAC ID 7113955295, 2 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

5051 Greenspring Ave
Baltimore, MD 21209-4356
Phone (410) 664-3680

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Merit-based Incentive Payment System (MIPS)

Final score
21.88 of 100Reported as individual
Quality
21.67
Improvement activities
0
Cost
44.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion268
Laminectomy or laminotomy (partial removal of spine bones)116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057725MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ira M. Garonzik, M.D., P.a. Neurological Surgery CurrentSince Jul 1, 2005 Accepting new patients
Windsor Mill Surgery Center, LLC PastSince Aug 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Johns Hopkins University Neurological Surgery Past Accepting new patients

Locations

5051 Greenspring Ave
Ste 101
Baltimore, MD 21209
Phone (410) 294-2227

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1104894781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094354",
            "telephone_number": "410-664-3680",
            "fax_number": "410-664-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVE",
            "address_2": "SUITE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094354",
            "telephone_number": "410-664-3680",
            "fax_number": "410-664-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARONZIK",
        "first_name": "IRA",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0057725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.