NPIMap

Organization Active NPI

Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1356390108
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MID-ATLANTIC NEPHROLOGY ASSOCIATES PA
Practice address
1589 Sulphur Spring Rd
Suite 109
Baltimore, MD 21227-2542
Phone
(410) 536-5400
Fax
(410) 737-2168
NPI assigned
May 9, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Robert Fuld, MDNPI 1386642718
Title
President/Ceo
Phone
(410) 536-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD Primary

Addresses

Primary practice location

1589 Sulphur Spring Rd
Suite 109
Baltimore, MD 21227-2542

Mailing address

1589 Sulphur Spring Rd
Suite 109
Baltimore, MD 21227-2542
Phone (410) 536-5400

Other identifiers 1

IdentifierTypeStateIssuer
78161400MedicaidMD

Other names 1

  • Dialysis Access Specialists Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040702001212 MD Part B Supplier - Clinic/Group Practice 2769469006 Receives reassigned benefits from 59 practitioners
Practice locations: Lutherville, MD; Towson, MD; Owings Mills, MD; Glen Burnie, MD; Columbia, MD; Baltimore, MD; Catonsville, MD
O20200608001216 DC Part B Supplier - Clinic/Group Practice 2769469006 Receives reassigned benefits from 14 practitioners
Practice locations: Laurel, MD

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3001 S Hanover St
Ste 200
Baltimore, MD 21225
Phone (410) 760-3588

312 Martin Luther King Jr Blvd
Fl 2
Baltimore, MD 21201
Phone (410) 332-1111

7600 Osler Dr
Ste 301
Baltimore, MD 21204
Phone (301) 321-0006

821 N Eutaw St
Ste 102
Baltimore, MD 21201
Phone (410) 523-3800

516 N Rolling Rd
Ste 107
Catonsville, MD 21228
Phone (410) 744-0890

5999 Harpers Farm Rd
Ste E150
Columbia, MD 21044
Phone (410) 772-8822

5999 Harpers Farm Rd
Ste W215
Columbia, MD 21044
Phone (410) 744-0890

3000 Gamber Rd
Finksburg, MD 21048
Phone (410) 602-7792

1406B Crain Hwy S
Ste 206
Glen Burnie, MD 21061
Phone 4107686088 ext. 2

6934 Aviation Blvd
Ste F
Glen Burnie, MD 21061
Phone (410) 760-3588

795 Aquahart Rd
Ste 203
Glen Burnie, MD 21061
Phone (410) 602-7792

7140 Contee Rd
Ste 1100
Laurel, MD 20707
Phone (202) 853-0207

25 Crossroads Dr
Ste 25
Owings Mills, MD 21117

7106 Ridge Rd
Ste 155
Rosedale, MD 21237
Phone (443) 559-8705

6565 N Charles St
Ste 313E
Towson, MD 21204
Phone (410) 602-7792

8501 La Salle Rd
Ste 103
Towson, MD 21286
Phone (410) 532-1640

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1356390108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC NEPHROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "FULD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-536-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78161400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis Access Specialists",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dialysis Access Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.