Active NPI
Elias Camille Ghandour, M.D.
- Nephrology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- D0035706
- Practice address
- 5601 Loch Raven Blvd
Ste 3
Baltimore, MD 21239-2905 - Phone
- (443) 444-3775
- Fax
- (443) 444-4678
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | D0035706 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Ste 3
Baltimore, MD 21239-2905
Mailing address
5601 Loch Raven Blvd
Ste 3 N
Baltimore, MD 21239-2905
Phone (443) 444-3775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52322301 | Other | MD | BLUE SHIELD |
| 206901200 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-3775
Hospital & facility affiliations
- DaVita Good Samaritan Dialysis
- DaVita Timonium Dialysis
- DaVita Dulaney Towson Dialysis Center
- FMC - Greater Baltimore
- Concerto Maryland, LLC
- Medstar Good Samaritan Hospital
- Medstar Union Memorial Hospital
- Johns Hopkins Hospital, the
- Johns Hopkins Bayview Medical Center
- Medstar Franklin Square Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0035706 | MD | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Center of Maryland, PA | Nephrology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Nephrology | Current | Accepting new patients |
Locations
5601 Loch Raven Blvd
#401
Baltimore, MD 21239
Phone (410) 532-4624
5601 Loch Raven Blvd
#3N
Baltimore, MD 21239
Phone (410) 532-3775
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
5601 Loch Raven Blvd
Fl 3
Northwood, MD 21239
Phone (410) 532-3775
Interoperability endpoints
- https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4
- elias.ghandour.1@7494.direct.athenahealth.com
- eghandour121634@direct.hopkinsmedicine.org
Organizations & group practices 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Nephrology Physician
- Baltimore, MD
- NPI 1518932862
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Nephrology Physician
- Baltimore, MD
- NPI 1376537456
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Baltimore, MD
- NPI 1073720827
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Port Deposit, MD
- NPI 1598228249
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lutherville Timonium, MD
- NPI 1205399854
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Baltimore, MD
- NPI 1346760147
Dialysis facility
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1306842059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "STE 3 N",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "443-444-3775",
"fax_number": "443-444-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "STE 3",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "443-444-3775",
"fax_number": "443-444-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANDOUR",
"first_name": "ELIAS",
"middle_name": "CAMILLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MD",
"license": "D0035706",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "52322301",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206901200",
"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 19, 2010; 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.