Individual provider Active NPI

Corina Fratila, MD

  • Specialist
  • Baltimore, MD
National Provider Identifier
1184735656
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D62812 Issued in MD
Practice address
6535 N Charles St
Suite 400 N
Baltimore, MD 21204-5826
Phone
(410) 828-7417
Fax
(410) 828-0257
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D62812 MD Primary

Addresses

Primary practice location

6535 N Charles St
Suite 400 N
Baltimore, MD 21204-5826

Mailing address

6535 N Charles St
Suite 400 N
Baltimore, MD 21204-5826
Phone (410) 828-7417

Other names 1

  • Dr. Corina Vilcu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 10, 2019 through Jun 10, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D62812MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay East Endocrinology Associates PA Specialist Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ideal Endocrinology LLC Past Accepting new patients

Locations

6535 N Charles St
Ste 400
Towson, MD 21204
Phone (410) 828-7417

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1184735656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "SUITE 400 N",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "410-828-7417",
            "fax_number": "410-828-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST",
            "address_2": "SUITE 400 N",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045826",
            "telephone_number": "410-828-7417",
            "fax_number": "410-828-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATILA",
        "first_name": "CORINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D62812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINA",
            "last_name": "VILCU",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.