Individual provider Active NPI

Christen A. Alevizatos, M.D.

  • Urology Physician
  • Baltimore, MD
National Provider Identifier
1154376325
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D50895 Issued in MD
Practice address
5601 Loch Raven Blvd
Suite 307
Baltimore, MD 21239-2905
Phone
(410) 433-7303
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Vanderbilt University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Urology Associates LLC 161 clinicians

Practice addresses (Care Compare)

1838 Greene Tree Rd
Suite 460
Baltimore, MD 21208-7113
Phone (410) 581-8140

201 Plumtree Rd
Suite 210
Bel Air, MD 21015-6053
Phone (410) 803-0089

314 Franklin Ave
Suite 302
Berlin, MD 21811-1238
Phone (410) 641-3735

6535 N Charles St
Suite 625
Baltimore, MD 21204-5835
Phone (410) 825-5454

Hospital & facility affiliations

  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

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
I20060817000261 MD Practitioner - Urology 9931102753 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D50895MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Urology Associates LLC Urology CurrentSince Apr 12, 1999 Accepting new patients
Chesapeake Urology Associates, LLC Current Accepting new patients
Maryland Urology Associates, PA Past Accepting new patients
Chesapeake Urology Associates, LLC Urology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5601 Loch Raven Blvd
Ste 307
Baltimore, MD 21239
Phone (410) 433-7303

3407 Wilkens Ave
Ste 200
Baltimore, MD 21229
Phone (410) 644-0929

806 Landmark Dr
Ste 118
Glen Burnie, MD 21061
Phone (410) 670-9400

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

1838 Greene Tree Rd
Ste 460
Pikesville, MD 21208
Phone (410) 581-8140

6535 N Charles St
Fl 5
Towson, MD 21204
Phone (410) 825-5454

Interoperability endpoints

  • Direct secure messaging: calevizatos149058@direct.umm.edu
  • Direct secure messaging: christenalevizatos@tsicua.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X D50895 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

5601 Loch Raven Blvd
Suite 307
Baltimore, MD 21239-2905

Mailing address

25 Crossroads Dr
Suite 306
Owings Mills, MD 21117

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
750511600MedicaidMD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2012.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1154376325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR",
            "address_2": "SUITE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "SUITE 307",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-433-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEVIZATOS",
        "first_name": "CHRISTEN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D50895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750511600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.