NPIMap

Individual provider Active NPI

Barry J Cukor, MD

  • Gastroenterology Physician
  • Annapolis, MD
National Provider Identifier
1316115595
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0069388 Issued in MD
Practice address
621 Ridgely Ave
Suite 201
Annapolis, MD 21401-1081
Phone
(410) 224-4887
Fax
(410) 224-1428
NPI assigned
Feb 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0069388 MD Primary

Addresses

Primary practice location

621 Ridgely Ave
Suite 201
Annapolis, MD 21401-1081

Mailing address

621 Ridgely Ave
Suite 201
Annapolis, MD 21401-1081
Phone (410) 224-4887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090729000798 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 0547235558 Reassigns benefits to 1 organization
I20220104000533 DC Practitioner - Gastroenterology 0547235558

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Boston University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Digestive Associates, PCGroup PAC ID 5597151357, 38 clinicians

Practice addresses (Care Compare)

1630 Main St
Suite 213
Chester, MD 21619-2793
Phone (410) 224-4887

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy201
Upper gastrointestinal (GI) endoscopy for acid reflux227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0069388MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Diagnostic and Therapeutic Endo Center, LLC CurrentSince Jul 1, 2023 Accepting new patients
Chesapeake Digestive Associates, PC Gastroenterology CurrentSince Mar 1, 2022 Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

621 Ridgely Ave
Ste 101
Annapolis, MD 21401
Phone (410) 224-3636

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

Interoperability endpoints

  • Direct secure messaging: barry.cukor@gastrohealth.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1316115595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE",
            "address_2": "SUITE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011081",
            "telephone_number": "410-224-4887",
            "fax_number": "410-224-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 RIDGELY AVE",
            "address_2": "SUITE 201",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011081",
            "telephone_number": "410-224-4887",
            "fax_number": "410-224-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUKOR",
        "first_name": "BARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0069388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.