Individual provider Active NPI

Natalie Blagowidow, M.D.

  • Clinical Genetics (M.D.) Physician
  • Baltimore, MD
National Provider Identifier
1407894330
Registry record updated Apr 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
D56939 Issued in MD
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

Updated by the provider on Apr 21, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
KJ67/610218-01OtherMDCAREFIRST MARYLAND GBMC
S128/0003OtherMDCAREFIRST REGIONAL GBMC
726502600MedicaidMD

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D56939MDMDClinical Cytogenetics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc Reproductive Endocrinology Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Mar 1, 2001 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Mar 1, 2001 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.