Individual provider Active NPI

Orn Eliasson, M.D., M.P.H.

  • Pulmonary Disease Physician
  • Baltimore, MD
National Provider Identifier
1205859667
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0031076 Issued in MD
Practice address
9106 Philadelphia Rd Ste 200
Baltimore, MD 21237-4333
Phone
(410) 995-9052
Fax
(410) 995-9050
NPI assigned
Jul 26, 2006
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0031076 MD
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0031076 MD
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X D0031076 MD
Pulmonary Disease Physician 207RP1001X D0031076 MD Primary

Addresses

Primary practice location

9106 Philadelphia Rd Ste 200
Baltimore, MD 21237-4333

Mailing address

11711 Foxspur CT
Ellicott City, MD 21042-1515
Phone (410) 960-4899

Other identifiers 1

IdentifierTypeStateIssuer
406471200MedicaidMD

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000018 MD Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1658309430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0031076MDMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1205859667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 FOXSPUR CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421515",
            "telephone_number": "410-960-4899",
            "fax_number": "410-995-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374333",
            "telephone_number": "410-995-9052",
            "fax_number": "410-995-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIASSON",
        "first_name": "ORN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0031076",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0031076",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MD",
            "license": "D0031076",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0031076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406471200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.