Kimberly Piccione Baydarian, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0061684 Issued in MD

Practice address

8507 Liberty Rd
Randallstown, MD 21133-4819

Phone

(410) 496-6441

Fax

(410) 496-6448

NPI assigned

Jul 15, 2006

Last updated

May 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 30, 2018 through Mar 30, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1396761870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334819",
            "telephone_number": "410-496-6441",
            "fax_number": "410-496-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 LIBERTY RD",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334819",
            "telephone_number": "410-496-6441",
            "fax_number": "410-496-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYDARIAN",
        "first_name": "KIMBERLY",
        "middle_name": "PICCIONE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132190100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406052100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette Thomas Barmore, MSW
• Chelsea Rene Barnes, PHYSICIAN ASSISTANT
• Tiffany Barnes, PMHNP
• Ayanna Alberta Barrows
• Christine Lorraine Bartch, RN
• Antonette Celine Bayer, RN
• BB-Penda
• Be More Inc.
• John Bednar, PA-C
• Eric Gerard Beglan, PTA

• Family Medicine Physician in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.