Dmitry Trifanov, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D88973 Issued in MD

Practice address

600 N Wolfe St
Baltimore, MD 21287-0005

Phone

(410) 955-5000

NPI assigned

Jun 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE, PA3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001
• Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dtrifanov698023@direct.hopkinsmedicine.org

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.

• Christiana Care Pennsylvania Inc

  dba CCHS Imaging PA

  • Diagnostic Radiology Physician
  • West Grove, PA
  • NPI 1467298299
  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba Christiana Care Cardiology of Southern Chester County

  • Cardiovascular Disease Physician
  • West Grove, PA
  • NPI 1659547560
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba CCHS Imaging

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1942553615
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba CCHS-Radiology

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1952335556

  PA

  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment NPD
• Johns Hopkins University

  dba Jhu - Radiology

  • Body Imaging Physician
  • Baltimore, MD
  • NPI 1093796609

  Diagnostic Radiology

  NPD
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Radiology

  • Diagnostic Radiology Physician
  • Chadds Ford, PA
  • NPI 1295162055
  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Christiana Care Pennsylvania Inc

  • Cardiovascular Disease Physician
  • Chadds Ford, PA
  • NPI 1487494662
  NPD
• Christiana Care Pennsylvania Inc

  • Surgery Physician
  • Glen Mills, PA
  • NPI 1871465419
  NPD

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

• Union Hospital of Cecil County

  • General Acute Care Hospital
  • Elkton, MD
  • NPI 1376523357
  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1386024107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIFANOV",
        "first_name": "DMITRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-06",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D88973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Link Healthcare Solution Inc
• Tri-State Transit LLC
• Vasiliki Triantafillou, MD
• Estrellita Trias-Cottingham
• Lesia Malko Trickett, M.D.
• Trifecta Wellness Center
• Taylor Trifiolis, DO
• Radiana Trifonova, MD
• Triforce Industries, LLC (Horizon Health)
• Jacqueline Trigger, OTRL

• Diagnostic Radiology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.