Individual provider Active NPI

Keith A. Segalman, M.D.

  • Orthopaedic Hand Surgery Physician
  • Lutherville, MD
National Provider Identifier
1407810336
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
D0043247 Issued in MD
Practice address
1400 Front Ave
Suite 100
Lutherville, MD 21093-5300
Phone
(410) 296-6232
Fax
(410) 821-5943
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X D0043247 MD Primary

Addresses

Primary practice location

1400 Front Ave
Suite 100
Lutherville, MD 21093-5300

Mailing address

1400 Front Ave
Suite 100
Lutherville, MD 21093-5300
Phone (410) 296-6232

Other identifiers 5

IdentifierTypeStateIssuer
331950400MedicaidMD
903AOtherMDCAREFIRST MARYLAND
DE5302OtherMDRAILROAD MEDICARE
DC8030OtherMDRAILROAD MEDICARE
J848OtherMDCAREFIRST DC

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
I20051027000161 MD Practitioner - Hand Surgery 6002833274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Greater Chesapeake Hand Specialists, P.a.Group PAC ID 5092727206, 10 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

1400 Front Ave
Suite 100
Lutherville, MD 21093-5363
Phone 4102966238121

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000

3304 Guilford Ave
Baltimore, MD 21218-2829
Phone (410) 554-6740

3333 N Calvert St
Baltimore, MD 21218-6502

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)105
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0043247MDMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 15, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 15, 2015 Accepting new patients
Greater Chesapeake Hand Specialists, P.a. Hand Surgery CurrentSince Apr 27, 1993 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lutherville Surgicenter, LLC PastSince Jun 5, 1998 Accepting new patients

Locations

3333 N Calvert St
Fl 2
Baltimore, MD 21218
Phone (410) 235-5405

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

200 E 33rd St
Ste 337
Baltimore, MD 21218

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1407 York Rd
Ste 100A
Lutherville Timonium, MD 21093
Phone (410) 252-9090

1400 Front Ave
Ste 100
Timonium, MD 21093
Phone (410) 296-6232

412 Malcolm Dr
Ste 200
Westminster, MD 21157
Phone (410) 751-7930

Interoperability endpoints

  • Direct secure messaging: ksegalman@gchs1384.srs-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1407810336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE",
            "address_2": "SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935300",
            "telephone_number": "410-296-6232",
            "fax_number": "410-821-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE",
            "address_2": "SUITE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935300",
            "telephone_number": "410-296-6232",
            "fax_number": "410-821-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGALMAN",
        "first_name": "KEITH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MD",
            "license": "D0043247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331950400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "903A",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5302",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC8030",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "J848",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.