Active NPI
Cardella W Coleman, MD
- Radiation Oncology Physician
- Baltimore, MD
National Provider Identifier
1124095625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D0055210
- Practice address
- 2401 W Belvedere Ave
Radiation Oncology
Baltimore, MD 21215-5216 - Phone
- (410) 601-5689
- Fax
- (410) 601-6307
- NPI assigned
- Mar 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | D0055210 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Radiation Oncology
Baltimore, MD 21215-5216
Mailing address
2401 W Belvedere Ave
Radiation Oncology
Baltimore, MD 21215-5216
Phone (410) 601-5689
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920006397 | Other | MEDICARE RAILROAD | |
| P00777329 | Other | MD | RAILROAD MEDICARE PTAN |
| 022302600 | Medicaid | MD | |
| 920007555 | Other | MD | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0055210 | MD | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Northwest Baltimore Radiation Therapy Regional Center, LLC | Radiation Oncology | Past | Accepting new patients |
| Radiation Oncology Services of Northwest Baltimore, LLC | Radiation Oncology | Past | Accepting new patients |
| University Hill Radiation Oncology | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 4
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 Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Radiation Oncology Physician
- Owings Mills, MD
- NPI 1639145279
-
- Radiation Oncology Physician
- Baltimore, MD
- NPI 1043274905
-
- Radiation Oncology Physician
- Syracuse, NY
- NPI 1811938798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1124095625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"address_2": "RADIATION ONCOLOGY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-5689",
"fax_number": "410-601-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"address_2": "RADIATION ONCOLOGY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-5689",
"fax_number": "410-601-6307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CARDELLA",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0055210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "920006397",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00777329",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022302600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "920007555",
"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 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.