Active NPI
Joel D Meshulam MD LLC
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1285800136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0038675
- Legal business name
- JOEL D MESHULAM MD LLC
- Practice address
- 301 St Paul Place
#804
Baltimore, MD 21202-2102 - Phone
- (410) 659-7041
- Fax
- (410) 659-7084
- NPI assigned
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joel David Meshulam, MD
- Title
- Physician
- Phone
- (410) 659-7041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0038675 | MD | Primary |
Addresses
Primary practice location
301 St Paul Place
#804
Baltimore, MD 21202-2102
Mailing address
301 St Paul Place
Suite 804
Baltimore, MD 21202-2102
Phone (410) 659-7041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532761000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1760537831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1285800136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ST PAUL PLACE",
"address_2": "SUITE 804",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022102",
"telephone_number": "410-659-7041",
"fax_number": "410-659-7084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 ST PAUL PLACE",
"address_2": "#804",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022102",
"telephone_number": "410-659-7041",
"fax_number": "410-659-7084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOEL D MESHULAM MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "MESHULAM",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "410-659-7041",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0038675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "532761000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.