Active NPI
Vijay Soprey, PA
- Medical Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- D70201
- Practice address
- 560L Loch Raven Blvd
GSH Pob 406, Dept PM & Rehab
Baltimore, MD 21239 - Phone
- (410) 532-4701
- Fax
- (410) 532-4719
- NPI assigned
- Aug 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 961845 | MD | |
| Medical Physician Assistant | 363AM0700X | D70201 | MD | Primary |
Addresses
Primary practice location
560L Loch Raven Blvd
GSH Pob 406, Dept PM & Rehab
Baltimore, MD 21239
Mailing address
560L Loch Raven Blvd
GSH Pob 406, Dept PM & Rehab
Baltimore, MD 21239
Phone (410) 532-4701
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 961845 | MD | MD | Medical Physician Assistant |
| D70201 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
600 N Wolfe St
Baltimore, MD 21287
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
5501 Hopkins Bayview Cir
Baltimore, MD 21224
Phone (410) 550-0545
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
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.
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-
- General Practice Physician
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- NPI 1184046187
-
- Neurology Physician
- Baltimore, MD
- NPI 1356346100
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1336333855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560L LOCH RAVEN BLVD",
"address_2": "GSH POB 406, DEPT PM & REHAB",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21239",
"telephone_number": "410-532-4701",
"fax_number": "410-532-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560L LOCH RAVEN BLVD",
"address_2": "GSH POB 406, DEPT PM & REHAB",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21239",
"telephone_number": "410-532-4701",
"fax_number": "410-532-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPREY",
"first_name": "VIJAY",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "961845",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "D70201",
"primary": true
}
],
"identifiers": [],
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.