U M FDSP Associates PA

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

4626 Issued in MD

Legal business name

U M FDSP ASSOCIATES PA

Doing business as

Oral Pathology Consultants
UM Oral Pathology Consultants

Practice address

650 W. Baltimore St.
7-North
Baltimore, MD 21201-1586

Phone

(410) 706-7936

Fax

(410) 706-6115

NPI assigned

Oct 25, 2006

Last updated

Apr 15, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

U M FDSP ASSOCIATES PAAs reported in NPPES

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

Authorized official

Name

John Robert BasileNPI 1508190182

Title

Physician

Phone

(410) 706-7937

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• Oral Pathology Consultants Doing business as
• UM Oral Pathology Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Oral Medicine Consultants

  • Oral and Maxillofacial Pathology Dentistry
  • Baltimore, MD
  • NPI 1871788430

  O20041110000376

  Same enrollment
• U M FDSP Associates PA

  • Dentist
  • Baltimore, MD
  • NPI 1104909449

  O20041110000376

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Um FDSP Associates PA4 organizations share this tax ID, including this one

Part of

Um FDSP Associates PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• U M FDSP Associates PA

  • Dentist
  • Baltimore, MD
  • NPI 1104909449
  NPD tax ID
• U M FDSP Associates PA

  • Dentist
  • Baltimore, MD
  • NPI 1831780253
  NPD tax ID
• Um FDSP Associates, P.a.

  • Dentist
  • Rockville, MD
  • NPI 1487286050
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Robert Basile, DDS, DMSC.

  • Oral and Maxillofacial Pathology Dentistry
  • Baltimore, MD
  • NPI 1508190182
  NPD Authorized official
• Jeffery Brent Price, D.D.S., M.S.

  • Oral and Maxillofacial Radiology Dentistry
  • Baltimore, MD
  • NPI 1669486536
  NPD
• Ahmed Sherif Sultan, B.D.S., P.H.D

  • Oral and Maxillofacial Pathology Dentistry
  • Baltimore, MD
  • NPI 1467884973
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1316021355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-7936",
            "fax_number": "410-706-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W. BALTIMORE ST.",
            "address_2": "7-NORTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011586",
            "telephone_number": "410-706-7936",
            "fax_number": "410-706-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U M FDSP ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U M FDSP ASSOCIATES PA",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-706-7937"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MD",
            "license": "182",
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MD",
            "license": "4626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418538200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "190003329",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Pathology Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral Pathology Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UM Oral Pathology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonia N Tyutyulkova, MD
• Serge Mbianda Tzeuton, MD
• Panagiotis Tzevelekos
• Tania N. Tzvetkova, PA-C
• U M FDSP Associates PA
• U M FDSP Associates PA
• U Turn for Life 2 Inc
• Uba Physicians Group, P.a.
• Uba Physicians Group, P.a.
• Anil Uberoi, M.D.

• Oral and Maxillofacial Pathology Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Oral and Maxillofacial Pathology Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.