Michael A. Gardyn, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

H0069168 Issued in MD

Practice address

9106 Philadelphia Rd
Suite #108
Baltimore, MD 21237-4329

Phone

(410) 682-5040

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baltimore Pain Management Center PAGroup PAC ID 9133184641, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.41 of 100Reported as group

Quality

100

Improvement activities

40

Cost

73.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Baltimore Pain Management Center PA

  • Interventional Pain Medicine Physician
  • Baltimore, MD
  • NPI 1356389845
  Medicare reassignment Care Compare group NPD Authorized official
• Zion Ambulatory Center LLC

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1023055001
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1205981867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA ROAD SUITE 108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-682-5040",
            "fax_number": "410-682-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD",
            "address_2": "SUITE #108",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374329",
            "telephone_number": "410-682-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDYN",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H0069168",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "H0069168",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MD",
            "license": "H0069168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalonda Gardner
• Shanae Aisha Gardner, LCSW-C
• Sherrill Gardner, ABT
• Takeeta Gardner
• Ulysses Grant Gardner Jr., MD, MBA
• Dimitrios Garefalakis, D.D.S
• Carol Garey, LCSW-C
• Jazzalee Garey
• Cristin Michelle Garfield, MS, CCC-SLP, CLC
• Eric Garfinkel

• Interventional Pain Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Interventional Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.