NPIMap

Individual provider Active NPI

Paul A Eder, M.D.

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1366401515
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
D0038282 Issued in MD
Practice address
200 E 33Rd St
Suite 640
Baltimore, MD 21218-3322
Phone
(410) 366-4441
Fax
(410) 243-7532
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0038282 MD Primary

Addresses

Primary practice location

200 E 33Rd St
Suite 640
Baltimore, MD 21218-3322

Mailing address

200 E 33Rd St
Suite 640
Baltimore, MD 21218-3322
Phone (410) 366-4441

Other identifiers 4

IdentifierTypeStateIssuer
440003475OtherMDRAILROAD MEDICARE #
557271100MedicaidMD
E718OtherMDBLUECHOICE #
LS78INOtherMDCAREFIRST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000148 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 7012103567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Medical College of Wisconsin, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 E 33Rd St
Suite 640
Baltimore, MD 21218-3379

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0038282MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Consultants, LLC Infectious Disease CurrentSince Mar 15, 2001 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 E 33rd St
Ste 640
Baltimore, MD 21218
Phone (410) 366-4441

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

200 E 33rd St
Ste 265
Baltimore, MD 21218
Phone (410) 889-6639

Interoperability endpoints

  • Direct secure messaging: peder32673@direct.mdmercy.com

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1366401515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "SUITE 640",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-366-4441",
            "fax_number": "410-243-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "SUITE 640",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-366-4441",
            "fax_number": "410-243-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDER",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0038282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "440003475",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557271100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE #",
            "identifier": "E718",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "LS78IN",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.