Individual provider Active NPI

Irina Bernescu, MD

  • Colon & Rectal Surgery Physician
  • Baltimore, MD
National Provider Identifier
1174850952
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
D85056 Issued in MD
Practice address
3407 Wilkens Ave Ste 410
Baltimore, MD 21229
Phone
(443) 574-8500
Fax
(410) 719-0094
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 4301106001 MI
Student in an Organized Health Care Education/Training Program 390200000X
Colon & Rectal Surgery Physician 208C00000X D85056 MD Primary

Addresses

Primary practice location

3407 Wilkens Ave Ste 410
Baltimore, MD 21229

Mailing address

3407 Wilkens Ave Ste 410
Baltimore, MD 21229-5074
Phone (443) 574-8500

Other identifiers 1

IdentifierTypeStateIssuer
070725MedicaidAZ

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
I20180516001038 MD Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1850517608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
New York University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

3407 Wilkens Ave
410 Maryland Surgeons
Baltimore, MD 21229-5074
Phone (443) 574-8500

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301106001MIMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince May 1, 2018 Accepting new patients
St Agnes Healthcare Inc CurrentSince May 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Banner Cancer Center Specialists LLC PastSince Nov 2, 2015 Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3407 Wilkens Ave
Ste 410
Baltimore, MD 21229
Phone (443) 574-8500

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

6740 Alexander Bell Dr
Ste 100
Columbia, MD 21046
Phone (410) 744-0900

Organizations & group practices 4

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1174850952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 410",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295074",
            "telephone_number": "443-574-8500",
            "fax_number": "410-719-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 WILKENS AVE STE 410",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "443-574-8500",
            "fax_number": "410-719-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNESCU",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301106001",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MD",
            "license": "D85056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070725",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.