Individual provider Active NPI

Inci Semra Engin, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1215967401
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D30439 Issued in MD
Practice address
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone
(410) 550-2948
NPI assigned
Jul 3, 2006
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D30439 MD Primary

Addresses

Primary practice location

4940 Eastern Ave
Baltimore, MD 21224-2735

Mailing address

PO Box 64358
Baltimore, MD 21264-4358

Other identifiers 1

IdentifierTypeStateIssuer
083291000MedicaidMD

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
I20040901001180 MD Practitioner - Diagnostic Radiology 8729053632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

201 Plumtree Rd
Suite 101
Bel Air, MD 21015-6055
Phone (410) 569-3640

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
63.33
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029068GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology Current Accepting new patients
Baltimore Ultrasound Services,Inc CurrentSince Apr 1, 2016 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

201 Plumtree Rd
Ste 101
Bel Air, MD 21015
Phone (410) 569-3640

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

8820 Columbia 100 Pkwy
Ste 100
Columbia, MD 21045
Phone (443) 436-4100

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

21 Crossroads Dr
Ste 100
Owings Mills, MD 21117
Phone (410) 353-8186

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1215967401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64358",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGIN",
        "first_name": "INCI",
        "middle_name": "SEMRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D30439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083291000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.