Active NPI
Natalie Blagowidow, M.D.
- Clinical Genetics (M.D.) Physician
- Baltimore, MD
National Provider Identifier
1407894330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- D56939
- Practice address
- 6701 N Charles St
Room 2310
Baltimore, MD 21204-6808 - Phone
- (443) 849-2536
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cytogenetics Physician | 207SC0300X | D56939 | MD | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | D56939 | MD | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | D56939 | MD |
Addresses
Primary practice location
6701 N Charles St
Room 2310
Baltimore, MD 21204-6808
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KJ67/610218-01 | Other | MD | CAREFIRST MARYLAND GBMC |
| S128/0003 | Other | MD | CAREFIRST REGIONAL GBMC |
| 726502600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D56939 | MD | MD | Clinical Cytogenetics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc | Reproductive Endocrinology | Current | Accepting new patients |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Past | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Clinical Cytogenetics | Past | Accepting new patients |
Locations
6701 N Charles St
Unit 23
Baltimore, MD 21204
Phone (443) 849-3131
3346 Paper Mill Rd
Phoenix, MD 21131
Phone (410) 666-4060
6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196
Interoperability endpoints
- nblagowidow8429@gbmcdirect.org
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
Reproductive Endocrinology
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
-
- Internal Medicine Physician
- Owings Mills, MD
- NPI 1942373964
-
- Medical Oncology Physician
- Baltimore, MD
- NPI 1235167297
-
- Clinical Genetics (M.D.) Physician
- Baltimore, MD
- NPI 1275584583
Clinical Cytogenetics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1407894330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "ROOM 2310",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAGOWIDOW",
"first_name": "NATALIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207SC0300X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Cytogenetics",
"state": "MD",
"license": "D56939",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "MD",
"license": "D56939",
"primary": true
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MD",
"license": "D56939",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND GBMC",
"identifier": "KJ67/610218-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL GBMC",
"identifier": "S128/0003",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "726502600",
"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 Apr 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.