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Organization Active NPI

University of Maryland Diagnostic Imaging Specialists P a

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1154335487
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A
Practice address
22 S Greene St
Department of Radiology
Baltimore, MD 21201-1544
Phone
(410) 328-3477
NPI assigned
Jul 29, 2006
Last updated
Sep 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Charles S White, MDNPI 1164414421
Title
Vice President
Phone
(410) 328-3477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X NU
Nuclear Imaging & Therapy Physician 207UN0902X NU
Neuroradiology Physician 2085N0700X NU
Nuclear Radiology Physician 2085N0904X NU
Pediatric Radiology Physician 2085P0229X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Vascular & Interventional Radiology Physician 2085R0204X NU
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X NU

Addresses

Primary practice location

22 S Greene St
Department of Radiology
Baltimore, MD 21201-1544

Mailing address

PO Box 17383
Baltimore, MD 21297-1383

Other identifiers 1

IdentifierTypeStateIssuer
972121500MedicaidMD

Other names 2

  • University of Maryland Diagnostic Imaging Specialists PA Other name
  • University of Maryland Diagnostic Imaging Specialists, P.A. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA, OR, FL, VA, CO, NC, AK, TX10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
O20040223000685 MD Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 122 practitioners
16 other NPIs on this enrollment
Practice locations: Easton, MD; Queenstown, MD; La Plata, MD; Ellicott City, MD; Denton, MD; Columbia, MD; Chestertown, MD; Cambridge, MD…
O20131121000450 DC Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 131 practitioners
3 other NPIs on this enrollment
Practice locations: Laurel, MD; Mitchellville, MD; Poolesville, MD; Potomac, MD; Rockville, MD; Silver Spring, MD; Washington, DC; Bethesda, MD…
O20191121000033 PA Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 2 practitioners
Practice locations: West Chester, PA
O20210810002079 OR Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR
O20240929000149 FL Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 6 practitioners
Practice locations: Gainesville, FL; Coral Gables, FL; Tampa, FL; Tallahassee, FL; Orlando, FL; Plantation, FL
O20251028004215 VA Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA
O20251218000328 CO Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 1 practitioner
Practice locations: Niwot, CO
O20260123002210 NC Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 1 practitioner
Practice locations: Fletcher, NC
O20260130000181 AK Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 1 practitioner
Practice locations: Eagle River, AK
O20260504007392 TX Part B Supplier - Clinic/Group Practice 7719873298 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Imaging Spec22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

110 S Paca St
Rm 2S108
Baltimore, MD 21201

Practitioners & affiliated clinicians

Practitioners 322

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 322

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1154335487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17383",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212971383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND DIAGNOSTIC IMAGING SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-09-21",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-328-3477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "972121500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Maryland Diagnostic Imaging Specialists PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "University of Maryland Diagnostic Imaging Specialists, P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.