Individual provider Active NPI

Erica Gaertner, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Owings Mills, MD
National Provider Identifier
1124478755
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
D0089481 Issued in MD
Practice address
10084 Reisterstown Rd Ste 300a
Owings Mills, MD 21117-4160
Phone
(410) 601-7529
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT211992 PA
Internal Medicine Physician 207R00000X D0089481 MD
Pediatric Sports Medicine Physician 2080S0010X MT211992 PA
Sports Medicine (Internal Medicine) Physician 207RS0010X D0089481 MD Primary

Addresses

Primary practice location

10084 Reisterstown Rd Ste 300a
Owings Mills, MD 21117-4160

Mailing address

10084 Reisterstown Rd Ste 300a
Owings Mills, MD 21117-4160
Phone (410) 601-7529

Other practice location 1

245 N 15th St
6th Floor
Philadelphia, PA 19102-1101
Phone (215) 762-7000

Other practice location 2

4924 Campbell Blvd Ste 125
Baltimore, MD 21236-5921
Phone (443) 461-1997

Other practice location 3

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (590) 152-7215

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL philadelphia

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200617001125 MD Practitioner - Internal Medicine 2961824198 Reassigns benefits to 2 organizations
I20200617001322 DC Practitioner - Internal Medicine 2961824198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians

Practice addresses (Care Compare)

10084 Reisterstown Rd
Suite 300a
Owings Mills, MD 21117-4160
Phone (667) 219-6313

Hospital & facility affiliations

  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT211992PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians Inc CurrentSince Jun 21, 2021 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jun 21, 2021 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Mar 5, 2020 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Mar 5, 2020 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Patient First Maryland Medical Group, PLLC CurrentSince Mar 5, 2020 Accepting new patients

Locations

4924 Campbell Blvd
Ste 125
Baltimore, MD 21236
Phone (443) 461-1997

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10084 Reisterstown Rd
Ste 300A
Owings Mills, MD 21117
Phone (410) 521-2200

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

8206 Georgia Ave
Silver Spring, MD 20910
Phone (301) 960-4682

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

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 2

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1124478755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10084 REISTERSTOWN RD STE 300A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174160",
            "telephone_number": "410-601-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10084 REISTERSTOWN RD STE 300A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174160",
            "telephone_number": "410-601-7529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N 15th St",
            "address_2": "6th Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021101",
            "country_code": "US",
            "telephone_number": "215-762-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4924 Campbell Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212365921",
            "country_code": "US",
            "telephone_number": "443-461-1997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Civic Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "590-152-7215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAERTNER",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT211992",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0089481",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "PA",
            "license": "MT211992",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "MD",
            "license": "D0089481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "philadelphia",
            "affiliation": "N",
            "address_1": "3401 Civic Center Blvd",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191044319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.