Active NPI
Ivona Gostomski, M.D.
- Anesthesiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D82967
- Practice address
- 3001 S Hanover St
Baltimore, MD 21225-1233 - Phone
- (410) 350-3200
- NPI assigned
- Apr 30, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D82967 | MD | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3001 S Hanover St
Baltimore, MD 21225-1233
Mailing address
3001 S Hanover St
Baltimore, MD 21225-1233
Other practice location 1
450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2012
Phone (718) 270-8867
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Anesthesia & Pain Management Services, P.C. | Anesthesiology | Current | Accepting new patients |
| Maryland Anesthesia & Pain Management Services, PC | Anesthesiology | Current | Accepting new patients |
Locations
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
5 N La Plata Ct
Ste 201
La Plata, MD 20646
Phone (301) 609-4000
Interoperability endpoints
- igostomski651635@direct.umm.edu
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Bel Air, MD
- NPI 1871928812
-
- Anesthesiology Physician
- La Plata, MD
- NPI 1245072834
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1154766558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 S HANOVER ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212251233",
"fax_number": "914-493-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 S HANOVER ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212251233",
"telephone_number": "410-350-3200"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_2": "Box 1262",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-8867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSTOMSKI",
"first_name": "IVONA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D82967",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.