NPIMap

Individual provider Active NPI

Scott Ira Berkenblit, M.D.

  • Orthopaedic Surgery Physician
  • Laurel, MD
National Provider Identifier
1144289877
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0054384 Issued in MD
Practice address
14201 Park Center Dr Ste 410
Laurel, MD 20707-5251
Phone
(301) 498-0383
NPI assigned
Mar 21, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0054384 MD
Orthopaedic Surgery Physician 207X00000X D0054384 MD Primary

Addresses

Primary practice location

14201 Park Center Dr Ste 410
Laurel, MD 20707-5251

Mailing address

4313 Roland Springs Dr
Baltimore, MD 21210-2756
Phone (410) 467-5047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070323000122 MD Practitioner - Orthopedic Surgery 1658475124 Reassigns benefits to 2 organizations
I20180102002442 DC Practitioner - Orthopedic Surgery 1658475124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

12090 Old Line Ctr
Suite R10A
Waldorf, MD 20602-2556
Phone (301) 498-0333

12414 Naves Cross Rd NE
Cumberland, MD 21502-8212
Phone (240) 808-8482

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (301) 498-0383

14201 Park Ctr Dr
Suite 410
Laurel, MD 20707-5251
Phone (301) 498-0383

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

900 S Caton Ave
Baltimore, MD 21229-5201
Phone (301) 498-0383

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054384MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine Orthopaedic Surgery CurrentSince Oct 1, 2017 Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince Nov 15, 2023 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Nov 1, 2017 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Current Accepting new patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Nov 15, 2023 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Oct 1, 2017 Accepting new patients
Harbor Hospital Past Accepting new patients
Gerald M Hayward MD PA Specialist Past Accepting new patients
Up Orthopedics LLC Orthopaedic Surgery Past Accepting new patients
The Good Samaritan Hospital of Maryland Inc Past Accepting new patients
Harbor Hospital Past Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

6655 Sykesville Rd
Sykesville, MD 21784
Phone (410) 970-7000

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

Interoperability endpoints

  • Direct secure messaging: sberkenblit547910@direct.umm.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1144289877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 ROLAND SPRINGS DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102756",
            "telephone_number": "410-467-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 PARK CENTER DR STE 410",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075251",
            "telephone_number": "301-498-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKENBLIT",
        "first_name": "SCOTT",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0054384",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0054384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.