Individual provider Active NPI

Elvira Pasmanik, M.D.

  • Internal Medicine Physician
  • Randallstown, MD
National Provider Identifier
1316945652
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0059228 Issued in MD
Practice address
8600 Liberty Rd FL 2
Randallstown, MD 21133-4767
Phone
(410) 521-4211
Fax
(410) 521-0627
NPI assigned
Jul 11, 2005
Reactivated
Mar 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0059228 MD Primary

Addresses

Primary practice location

8600 Liberty Rd FL 2
Randallstown, MD 21133-4767

Mailing address

8600 Liberty Rd FL 2
Randallstown, MD 21133-4767
Phone (410) 521-4211

Other practice location 1

5400 Old Court Rd
Suite 204
Randallstown, MD 21133-5100
Phone (410) 521-4211

Other identifiers 1

IdentifierTypeStateIssuer
403364700MedicaidMD

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
I20050317000568 MD Practitioner - Internal Medicine 7315927019 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059228MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Lifebridge Community Physicians, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8600 Liberty Rd
Fl 2
Randallstown, MD 21133
Phone (410) 521-4211

8600 Liberty Rd
Randallstown, MD 21133
Phone (410) 366-5600

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1316945652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 LIBERTY RD FL 2",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334767",
            "telephone_number": "410-521-4211",
            "fax_number": "410-521-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LIBERTY RD FL 2",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334767",
            "telephone_number": "410-521-4211",
            "fax_number": "410-521-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Old Court Rd",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211335100",
            "country_code": "US",
            "telephone_number": "410-521-4211",
            "fax_number": "410-521-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASMANIK",
        "first_name": "ELVIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0059228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403364700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.