Individual provider Active NPI

Aksana Afanasenka, MD

  • Internal Medicine Physician
  • Owings Mills, MD
National Provider Identifier
1306963665
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0066860 Issued in MD
Practice address
25 Crossroads Dr
Owings Mills, MD 21117-5421
Phone
(410) 415-5105
NPI assigned
Mar 23, 2007
Last updated
Aug 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT187373 PA
Internal Medicine Physician 207R00000X D0066860 MD Primary
Hospitalist Physician 208M00000X D0066860 MD

Addresses

Primary practice location

25 Crossroads Dr
Owings Mills, MD 21117-5421

Mailing address

6701 N Charles St
Suite 4890
Towson, MD 21204-6808
Phone (443) 849-8046

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
I20080905000119 MD Practitioner - Internal Medicine 5092881698 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT187373PAMDInternal Medicine Physician
D0066860MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Jul 1, 2008 Accepting new patients
Capital Healthcare PC Internal Medicine CurrentSince Oct 8, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8205 Snowden River Pkwy
Columbia, MD 21045
Phone (410) 290-9990

25 Crossroads Dr
Ste 10
Owings Mills, MD 21117
Phone (410) 415-5105

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6701 N Charles St
Ste 102
Towson, MD 21204
Phone (443) 849-2459

6701 N Charles St
Ste 4890
Towson, MD 21204

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1306963665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "SUITE 4890",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-849-8046",
            "fax_number": "443-849-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175421",
            "telephone_number": "410-415-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFANASENKA",
        "first_name": "AKSANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT187373",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066860",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0066860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.