NPIMap

Individual provider Active NPI

Greg Victor Igot Tampus, MD

  • Family Medicine Physician
  • Lutherville Timonium, MD
National Provider Identifier
1356679138
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0076580 Issued in MD
Practice address
1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016
Phone
(443) 288-5206
Fax
(443) 288-5205
NPI assigned
Dec 7, 2009
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0076580 MD Primary
General Practice Physician 208D00000X D0076580 MD

Addresses

Primary practice location

1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016

Mailing address

1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016
Phone (443) 288-5206

Other identifiers 1

IdentifierTypeStateIssuer
421974100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140125000233 MD Practitioner - General PracticePractitioner - Internal Medicine 2668507278 Reassigns benefits to 2 organizations
I20160201002691 DC Practitioner - Internal Medicine 2668507278

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

4155 Glen Park Rd
Nottingham, MD 21236-1019
Phone (410) 248-0661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.71

Merit-based Incentive Payment System (MIPS)

Final score
25.82 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0076580MDMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Maryland Professional Corporation CurrentSince Jan 22, 2024 Accepting new patients
Primary Care of Maryland Professional Corporation Past Accepting new patients
Little Sisters of the Poor Baltimore Inc Past Accepting new patients
Commonwealth Internal Medicine & Geriatrics PC Past Accepting new patients

Locations

1300 York Rd
Ste 190D
Lutherville Timonium, MD 21093
Phone (443) 288-5206

4155 Glen Park Rd
Nottingham, MD 21236
Phone (347) 586-9519

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2921/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1356679138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 190D",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "443-288-5206",
            "fax_number": "443-288-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 190D",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "443-288-5206",
            "fax_number": "443-288-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMPUS",
        "first_name": "GREG VICTOR",
        "middle_name": "IGOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0076580",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0076580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421974100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

Verify at the official NPI Registry.