NPIMap

Organization Active NPI

Sinai Hospital of Baltimore, Inc

  • Internal Medicine Physician
  • Owings Mills, MD
National Provider Identifier
1205062767
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30-062 Issued in MD
Legal business name
SINAI HOSPITAL OF BALTIMORE, INC
Practice address
21 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5441
Phone
(410) 998-9100
Fax
(410) 998-9104
NPI assigned
Jun 10, 2009
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SINAI HOSPITAL OF BALTIMOREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Charles B Efird
Title
Director
Phone
(410) 601-7019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30-062 MD Primary

Addresses

Primary practice location

21 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5441

Mailing address

2401 W Belvedere Ave
Credentialing
Baltimore, MD 21215-5216
Phone (410) 601-5523

Other identifiers 2

IdentifierTypeStateIssuer
382301600MedicaidMD
C31152OtherMDR/R MEDICARE GROUP #

Other names 1

  • Crossroads Internal Medicine Other name

National Provider Directory

National Provider Directory
Part of
Sinai Ophthalmolgy Asso

Locations

2425 W Belvedere Ave Ste 22
Baltimore, MD 21215

5101 Lanier Ave
Fl 1
Baltimore, MD 21215

5911 York Rd
Baltimore, MD 21212

21 Crossroads Dr
Ste 400
Owings Mills, MD 21117
Phone (410) 998-9100

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1205062767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "CREDENTIALING",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5523",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CROSSROADS DR",
            "address_2": "SUITE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175441",
            "telephone_number": "410-998-9100",
            "fax_number": "410-998-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINAI HOSPITAL OF BALTIMORE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINAI HOSPITAL OF BALTIMORE",
        "enumeration_date": "2009-06-10",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "EFIRD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-601-7019"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "30-062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382301600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE GROUP #",
            "identifier": "C31152",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.