Individual provider Active NPI

Tanzila Shams Kulman, M.D.

  • Neurology Physician
  • Bethesda, MD
National Provider Identifier
1194958215
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0089801 Issued in MD
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

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
027432315MedicaidDC
208061300MedicaidMD

Other names 1

  • Tanzila Shams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190525000097 TN Practitioner - Psychiatry 2264755693 Reassigns benefits to 1 organization
I20200909003454 DC Practitioner - Neurology 2264755693
I20230516003732 MD Practitioner - Neurology 2264755693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

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

LicenseStateTypeSpecialty
35.122126OHMDNeurology Physician
58929TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Mar 18, 2019 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Mar 18, 2019 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 CurrentSince Apr 17, 2023 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.