NPIMap

Individual provider Active NPI

Robert Fuld, M.D.

  • Nephrology Physician
  • Owings Mills, MD
National Provider Identifier
1386642718
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D28807 Issued in MD
Practice address
25 Crossroads Dr Ste 205
Owings Mills, MD 21117-5533
Phone
(410) 602-7792
Fax
(410) 602-9889
NPI assigned
Jul 11, 2005
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 D28807 MD Primary

Addresses

Primary practice location

25 Crossroads Dr Ste 205
Owings Mills, MD 21117-5533

Mailing address

1589 Sulphur Spring Rd Ste 109
Baltimore, MD 21227-2542
Phone (410) 536-5400

Other practice location 1

1666 Sulphur Spring Rd
Baltimore, MD 21227-2539
Phone (410) 242-0029

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
I20100423000761 MD Practitioner - NephrologyPractitioner - Internal Medicine 9436201860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Maryland School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

1666 Sulphur Spring Rd
Baltimore, MD 21227-2539
Phone (410) 242-0029

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince Sep 1, 2003 Accepting new patients
Dialysis Access Services, LLC CurrentSince Aug 28, 2017 Accepting new patients
Dialysis Access Services, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1666 Sulphur Spring Rd
Baltimore, MD 21227
Phone (410) 242-0029

1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400

25 Crossroads Dr
Ste 205
Owings Mills, MD 21117
Phone (410) 602-7792

2405 York Rd
Ste 100
Timonium, MD 21093
Phone (410) 560-2257

Interoperability endpoints

  • Direct secure messaging: rfuld21360@direct.umm.edu
  • Direct secure messaging: robertfuld@mana.allscriptsdirect.net

Organizations & group practices 12

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 6

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1386642718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD STE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 205",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175533",
            "telephone_number": "410-602-7792",
            "fax_number": "410-602-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1666 Sulphur Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212272539",
            "country_code": "US",
            "telephone_number": "410-242-0029",
            "fax_number": "410-242-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULD",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D28807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.