Active NPI
Baltimore VA Rehab and Extended Care Center
- Rehabilitation Hospital Unit
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- D56508
- Legal business name
- BALTIMORE VA REHAB AND EXTENDED CARE CENTER
- Practice address
- 3900 Loch Raven Blvd
Baltimore, MD 21218-2108 - Phone
- (410) 605-7000
- NPI assigned
- May 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Xiangrong Shao, M.D.
- Title
- Attending Physician
- Phone
- (410) 605-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | D56508 | MD | Primary |
Addresses
Primary practice location
3900 Loch Raven Blvd
Baltimore, MD 21218-2108
Mailing address
3900 Loch Raven Blvd
Baltimore, MD 21218-2108
Phone (410) 605-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M53029 | Other | MD | CDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407801988. Details of each certification follow.
Hospital certification: CCN 21005F
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- BALTIMORE VA REHAB & EXTENDED CARE CENTER (BRECC)
- Certification status
- Active
- Provider type (POS)
- Hospital
- Participating since
- Mar 1, 1991
- Last certification
- Mar 1, 1991
- Beds
- 120
- Facility address
- 3900 Loch Raven Blvd
Baltimore, MD 21218
National Provider Directory
National Provider Directory- Tax ID family
- VA Hospital
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1053373472
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1124089032
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1528165180
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1477658813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1407801988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182108",
"telephone_number": "410-605-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182108",
"telephone_number": "410-605-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALTIMORE VA REHAB AND EXTENDED CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SHAO",
"authorized_official_first_name": "XIANGRONG",
"authorized_official_title_or_position": "ATTENDING PHYSICIAN",
"authorized_official_telephone_number": "410-605-7000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "MD",
"license": "D56508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "M53029",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.