Active NPI
Tanzila Shams Kulman, M.D.
- Neurology Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0089801
- Practice address
- 6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844 - Phone
- (301) 530-9743
- NPI assigned
- Aug 24, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 58929 | TN | |
| Neurology Physician | 2084N0400X | 35.122126 | OH | |
| Neurology Physician | 2084N0400X | Q2852 | TX | |
| Neurology Physician | 2084N0400X | D0089801 | MD | Primary |
Addresses
Primary practice location
6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844
Mailing address
6410 Rockledge Dr Ste 610
Bethesda, MD 20817-1844
Phone (301) 530-9743
Other practice location 1
2600 Tuscarawas Street West
Suite 540
Canton, OH 44708
Phone (330) 454-0350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027432315 | Medicaid | DC | |
| 208061300 | Medicaid | MD |
Other names 1
- Tanzila Shams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5051 Greenspring Ave
Baltimore, MD 21209-4354
Phone (410) 601-9513
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.122126 | OH | MD | Neurology Physician |
| 58929 | TN | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Global Green Med LLC | Neurology | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Pavel Klein | Neurology | Past | Accepting new patients |
Locations
2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632
5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441
2401 W Belvedere Ave
Baltimore, MD 21215
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
410 N State of Franklin Rd
Ste 135B
Johnson City, TN 37604
Phone (423) 431-2477
Interoperability endpoints
- https://api.platform.athenahealth.com/7347/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
dba First Assist Urgent Care
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Neurology Physician
- Silver Spring, MD
- NPI 1790639870
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669497285
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Kingsport, TN
- NPI 1487690434
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
dba Mid-Atlantic Epilepsy & Sleep Center
- Neurology Physician
- Bethesda, MD
- NPI 1740587435
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Grace Medical Center, A Sinai Hospital Facility
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1194958215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR STE 610",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171844",
"telephone_number": "301-530-9743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 ROCKLEDGE DR STE 610",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171844",
"telephone_number": "301-530-9743"
}
],
"practiceLocations": [
{
"address_1": "2600 Tuscarawas Street West",
"address_2": "Suite 540",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "44708",
"country_code": "US",
"telephone_number": "330-454-0350",
"fax_number": "330-454-8311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULMAN",
"first_name": "TANZILA",
"middle_name": "SHAMS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "58929",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.122126",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "Q2852",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0089801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027432315",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208061300",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TANZILA",
"last_name": "SHAMS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.