Dmitry Bederak, DNP, CRNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R204060 Issued in MD

Practice address

6701 N Charles St Ste 4105
Baltimore, MD 21204-6881

Phone

(443) 849-8200

NPI assigned

Aug 11, 2021

Last updated

Jul 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gilchrist Hospice Care IncGroup PAC ID 2769580422, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526
• Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbederak59496@gbmcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gilchrist Hospice Care, Inc.

  dba Gilchrist Elder Medical Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1871069799
  Medicare reassignment Care Compare group NPD
• Gilchrist Hospice Care, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham Seabrook, MD
  • NPI 1588412241
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gilchrist Hospice Care Inc.

  • Inpatient Hospice
  • Towson, MD
  • NPI 1780773408
  Care Compare affiliation
• Greater Baltimore Medical Center, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1255372397
  Care Compare affiliation

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1194490250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST STE 4105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-629-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST STE 4105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046881",
            "telephone_number": "443-849-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDERAK",
        "first_name": "DMITRY",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-11",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R204060",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R204060",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R204060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Gerlyn Beckwith, MS, LCPC
• Katherine A Beckwith, M.D., M.P.H.
• Nyra Beckwith
• Nicholas Bedard, M.D.
• Stephanie Beddows
• Atul Bedi, M.D.
• Gauri C Bedi, MD
• Harjot Kaur Bedi, MD
• Sukhjeet Singh Bedi
• Linda Achiaa Bediako Fosu, AGPCNP

• Gerontology Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.

Verify at the official NPI Registry.