Lisa Gesualdo, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

D56228 Issued in MD

Practice address

900 Caton Ave
Baltimore, MD 21229-5201

Phone

(410) 368-2011

NPI assigned

Jun 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1821434002
  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Champion Emergency Physicians LLC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1649533357
  NPD (past)
• Dresnick/Sterling Pediatric Services of Maryland, PA

  • Pediatrics Physician
  • Bel Air, MD
  • NPI 1669424834
  NPD (past)
• Maryland Provo-I Medical Services, PC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1013002096
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1346287844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 IRWINS CHOICE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142507",
            "telephone_number": "410-420-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESUALDO",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D56228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60609101",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147600900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D Gerwin, M.D.
• Babak Geshnizjani
• Rahwa Gessese, CPNP-PC
• Heywan Gessesse
• Gestell Psychiatry, LLC
• Get by on a Budget
• Get Set ABA LLC
• Get Your Wins LLC
• Aklil Getachew, M.D.
• Bahrenegash Getachew, MD

• Emergency Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.

Verify at the official NPI Registry.