Individual provider Active NPI

Ronald Gillilan, M.D.

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1356312078
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0004286 Issued in MD
Practice address
724 Maiden Choice LN
Baltimore, MD 21228-5911
Phone
(410) 455-0200
NPI assigned
Jan 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0004286 MD Primary

Addresses

Primary practice location

724 Maiden Choice LN
Baltimore, MD 21228-5911

Mailing address

31 S Lake Way
Reisterstown, MD 21136-5923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000245 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0648229492 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Cardiovascular Disease CurrentSince Jan 4, 2004 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jan 4, 2004 Accepting new patients
Maiden Choice Cardiac Diagnostic Center Cardiovascular Disease Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

900 S Caton Ave
#232
Baltimore, MD 21229
Phone (410) 368-2240

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356312078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S LAKE WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285911",
            "telephone_number": "410-455-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAN",
        "first_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0004286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.