Individual provider Active NPI

Adi Lazary-Dagan, CNM

  • Advanced Practice Midwife
  • Baltimore, MD
National Provider Identifier
1275860728
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R164095 Issued in MD
Practice address
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone
(410) 550-0337
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X R164095 MD Primary
Advanced Practice Midwife 367A00000X LK-0010282 DE
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R164095 MD

Addresses

Primary practice location

4940 Eastern Ave
Baltimore, MD 21224-2735

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Other identifiers 1

IdentifierTypeStateIssuer
R164095OtherMDMD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160223000280 MD Practitioner - Certified Nurse Midwife (CNM) 9638474083 Reassigns benefits to 3 organizations
I20220922000493 DC Practitioner - Certified Nurse Midwife (CNM) 9638474083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Merit-based Incentive Payment System (MIPS)

Final score
85.26 of 100Reported as group
Quality
81.56
Promoting interoperability
100
Improvement activities
40
Cost
69.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R164095MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Maryland PC CurrentSince Jun 19, 2022 Accepting new patients
Johns Hopkins University CurrentSince Feb 1, 2017 Accepting new patients
Johns Hopkins University CurrentSince Feb 1, 2017 Accepting new patients
Baltimore Medical System, Inc. CurrentSince Jun 21, 2023 Accepting new patients
Obhg Maryland PC CurrentSince Jun 19, 2022 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 20, 2022 Accepting new patients
Greater Baltimore Medical Center, Inc Obstetrics & Gynecology CurrentSince Jan 18, 2016 Accepting new patients
Johns Hopkins University Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jan 18, 2016 Accepting new patients
Baltimore Medical System, Inc. CurrentSince Jun 21, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 20, 2022 Accepting new patients
Baltimore Medical System Inc Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

600 N Wolfe St
Baltimore, MD 21287

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

1000 Stewart Ave
Glen Burnie, MD 21061

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: alazarydagan32505@direct.hopkinsmedicine.org
  • Direct secure messaging: adi.lazarydagan.p1@direct.bmsi.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1275860728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004"
        },
        {
            "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": "410-550-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZARY-DAGAN",
        "first_name": "ADI",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R164095",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LK-0010282",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R164095",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "R164095",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.