Organization Active NPI

Baltimore Medical Associates, LLC

  • Internal Medicine Physician
  • Owings Mills, MD
National Provider Identifier
1225474646
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0069314 Issued in MD
Legal business name
BALTIMORE MEDICAL ASSOCIATES, LLC
Practice address
20 Crossroads Dr
Suite 10
Owings Mills, MD 21117-5419
Phone
(410) 844-3121
Fax
(443) 552-7450
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Dr. Mittal Prajapati, M.D.NPI 1487882411
Title
M.D.
Phone
(410) 844-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0069314 MD Primary

Addresses

Primary practice location

20 Crossroads Dr
Suite 10
Owings Mills, MD 21117-5419

Mailing address

20 Crossroads Dr
Suite 10
Owings Mills, MD 21117-5419
Phone (410) 844-3121

Other practice location 1

7001 Johnnycake Rd Ste 200
Windsor Mill, MD 21244-2420
Phone (410) 719-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130829000117 MD Part B Supplier - Clinic/Group Practice 8527201177 Receives reassigned benefits from 2 practitioners
Practice locations: Owings Mills, MD

National Provider Directory

National Provider Directory

Locations

20 Crossroads Dr
Ste 10
Owings Mills, MD 21117
Phone (410) 781-1905

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAABDA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1225474646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "SUITE 10",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "410-844-3121",
            "fax_number": "443-552-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "SUITE 10",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "410-844-3121",
            "fax_number": "443-552-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Johnnycake Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Windsor Mill",
            "state": "MD",
            "postal_code": "212442420",
            "country_code": "US",
            "telephone_number": "410-719-9110",
            "fax_number": "410-719-9122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALTIMORE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "PRAJAPATI",
        "authorized_official_first_name": "MITTAL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "410-844-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0069314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.