Individual provider Active NPI

Mohammed Yousef Kanjwal, MD

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1376537407
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35078130 Issued in OH
Practice address
5051 Greenspring Avenue
Suite 304
Baltimore, MD 21209
Phone
(410) 601-9355
Fax
(410) 601-8704
NPI assigned
Sep 5, 2005
Last updated
Dec 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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 35078130 OH Primary

Addresses

Primary practice location

5051 Greenspring Avenue
Suite 304
Baltimore, MD 21209

Mailing address

2401 West Belvedere Avenue
Department of Credentialing
Baltimore, MD 21215
Phone (410) 601-5524

Other identifiers 1

IdentifierTypeStateIssuer
2195557MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913000154 MD Practitioner - Cardiovascular Disease (Cardiology) 0042107732 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Padder Health Services LLCGroup PAC ID 7012072648, 20 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Suite 223
Hagerstown, MD 21742-6727
Phone (240) 203-9000

8850 Columbia 100 Pkwy
Columbia, MD 21045-2377
Phone 3015604747109

9710 Patuxent Woods Dr
Suite 100
Columbia, MD 21046-3458
Phone 3015604747109

Merit-based Incentive Payment System (MIPS)

Final score
82.22 of 100Reported as individual
Quality
55.81
Promoting interoperability
100
Improvement activities
40
Cost
68.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078130OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore Inc Cardiovascular Disease CurrentSince Sep 6, 2016 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Sep 6, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Toledo Cardiology Consultants Inc PastSince Oct 21, 2025 Accepting new patients
University of Toledo Physicians LLC Cardiovascular Disease Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

5051 Greenspring Ave
Ste 304
Baltimore, MD 21209
Phone (410) 367-2590

Organizations & group practices 7

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": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1376537407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WEST BELVEDERE AVENUE",
            "address_2": "DEPARTMENT OF CREDENTIALING",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21215",
            "telephone_number": "410-601-5524",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 GREENSPRING AVENUE",
            "address_2": "SUITE 304",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-601-9355",
            "fax_number": "410-601-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANJWAL",
        "first_name": "MOHAMMED",
        "middle_name": "YOUSEF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-05",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35078130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195557",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.