Individual provider Active NPI

Alfonso P. Zalduondo, M.D.

  • Surgery Physician
  • Towson, MD
National Provider Identifier
1417069006
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D29306 Issued in MD
Practice address
7600 Osler Dr
Suite 302
Towson, MD 21204-7735
Phone
(410) 296-3092
Fax
(410) 494-6442
NPI assigned
Aug 31, 2006
Last updated
Sep 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D29306 MD Primary

Addresses

Primary practice location

7600 Osler Dr
Suite 302
Towson, MD 21204-7735

Mailing address

7600 Osler Dr
Suite 302
Towson, MD 21204-7735
Phone (410) 296-3092

Other identifiers 5

IdentifierTypeStateIssuer
207118YDXHOtherMDMEDICARE
42308606OtherMDCAREFIRST
473921300OtherMDMEDICAL ASSISTANCE
P00931598OtherGARAILROAD MEDICARE
X743 0001OtherDCCAREFIRST

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
I20110325000436 MD Practitioner - General Surgery 9739362922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
43.34 of 100Reported as group
Quality
0
Promoting interoperability
94
Improvement activities
0
Cost
49.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D29306MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperheal Hyperbarics Inc CurrentSince Dec 24, 2019 Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients

Locations

9411 Philadelphia Rd
Ste F
Rosedale, MD 21237
Phone (410) 433-4300

7600 Osler Dr
Ste 305
Towson, MD 21204
Phone (410) 296-0021

Interoperability endpoints

  • Direct secure messaging: azalduondo137204@direct.umm.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1417069006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "SUITE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047735",
            "telephone_number": "410-296-3092",
            "fax_number": "410-494-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "SUITE 302",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047735",
            "telephone_number": "410-296-3092",
            "fax_number": "410-494-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDUONDO",
        "first_name": "ALFONSO",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D29306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "207118YDXH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "42308606",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "473921300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00931598",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "X743 0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.