NPIMap

Individual provider Active NPI

Luis Fernando Gimenez, MD

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1366448052
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0031960 Issued in MD
Practice address
5601 Loch Raven Blvd
Ste 3
Baltimore, MD 21239-2905
Phone
(443) 444-3775
Fax
(443) 444-4678
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0031960 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Ste 3
Baltimore, MD 21239-2905

Mailing address

5601 Loch Raven Blvd
Ste 3 N
Baltimore, MD 21239-2905
Phone (443) 444-3775

Other identifiers 2

IdentifierTypeStateIssuer
378371500MedicaidMD
41416401OtherMDBLUE SHIELD

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
I20100702000321 MD Practitioner - NephrologyPractitioner - Internal Medicine 8325055023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nephrology Center of Maryland, PA 16 clinicians
Johns Hopkins University 2,886 clinicians

Practice addresses (Care Compare)

2309 Bel Air Rd C
Fallston, MD 21047-2752
Phone (443) 981-3130

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-3775

5601 Loch Raven Blvd
3 North
Baltimore, MD 21239-2945

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Hospital & facility affiliations

  • Fresenius Medical Care Towson Dialysis facility, Towson, MD, CCN 212705
  • Fresenius Kidney Care Nashua Court Dialysis facility, Baltimore, MD, CCN 212716
  • DaVita Deer Creek Home Training Dialysis facility, Bel Air, MD, CCN 212673
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029
  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0031960MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Center of Maryland, PA Nephrology CurrentSince Jul 1, 1994 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Nephrology CurrentSince Jan 1, 1995 Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 1995 Accepting new patients
First Urology, PSC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5601 Loch Raven Blvd
#3N
Baltimore, MD 21239
Phone (410) 532-3775

600 N Wolfe St
Baltimore, MD 21287

5601 Loch Raven Blvd
Fl 3N
Baltimore, MD 21239

2309 Bel Air Rd
Ste C
Fallston, MD 21047

5601 Loch Raven Blvd
Fl 3
Northwood, MD 21239
Phone (410) 532-3775

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lgimenez59340@direct.hopkinsmedicine.org
  • Direct secure messaging: luis.gimenez.1@7494.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1366448052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "STE 3 N",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "443-444-3775",
            "fax_number": "443-444-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "STE 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "443-444-3775",
            "fax_number": "443-444-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMENEZ",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0031960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378371500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "41416401",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.