Individual provider Active NPI

Kenneth C Schoendorf, MD, MPH

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1346308095
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0043597 Issued in MD
Practice address
5101 Lanier Ave
Baltimore, MD 21215-5321
Phone
(410) 601-9300
Fax
(410) 601-9499
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0043597 MD Primary

Addresses

Primary practice location

5101 Lanier Ave
Baltimore, MD 21215-5321

Mailing address

5101 Lanier Ave
Baltimore, MD 21215-5321
Phone (410) 601-9300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address KSchoend@direct.LifeBridgeHealth.org Direct Sinai Hospital Lifebridge Health
Direct Messaging Address KSchoend@direct.LifeBridgeHealth.org Direct Sinai Hospital of Baltimore, Inc

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
I20141118001506 MD Practitioner - Pediatric Medicine 0143442632 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0043597MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Sep 11, 2014 Accepting new patients
Sinai Hospital of Baltimore Inc Pediatrics CurrentSince Sep 11, 2014 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

5101 Lanier Ave
Baltimore, MD 21215
Phone (410) 542-7800

Interoperability endpoints

  • Direct secure messaging: kschoend@direct.lifebridgehealth.org

Organizations & group practices 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1346308095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 LANIER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155321",
            "telephone_number": "410-601-9300",
            "fax_number": "410-601-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 LANIER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155321",
            "telephone_number": "410-601-9300",
            "fax_number": "410-601-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENDORF",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0043597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KSchoend@direct.LifeBridgeHealth.org",
            "affiliation": "Y",
            "affiliationName": "Sinai Hospital Lifebridge Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W Belvedere Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212155216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KSchoend@direct.LifeBridgeHealth.org",
            "affiliation": "Y",
            "affiliationName": "Sinai Hospital of Baltimore, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5101 Lanier Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212155321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.