NPIMap

Individual provider Active NPI

Vasken Dilsizian, M.D.

  • Nuclear Imaging & Therapy Physician
  • Baltimore, MD
National Provider Identifier
1417980491
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
D0038694 Issued in MD
Practice address
22 S Greene St
Dept of Radiology
Baltimore, MD 21201-1544
Phone
(410) 328-3477
NPI assigned
Jul 10, 2006
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X D0038694 MD Primary

Addresses

Primary practice location

22 S Greene St
Dept of Radiology
Baltimore, MD 21201-1544

Mailing address

22 S Greene St
Dept of Radiology
Baltimore, MD 21201-1544
Phone (410) 328-3477

Other identifiers 2

IdentifierTypeStateIssuer
809802600MedicaidMD
069938602MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080812000705 MD Practitioner - Nuclear Medicine 9234204173 Reassigns benefits to 4 organizations
I20131121000924 DC Practitioner - Nuclear Medicine 9234204173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Tufts University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (888) 972-9700

4801 Dorsey Hall Dr
Ellicott City, MD 21042-7703

5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (888) 972-9700

7501 Osler Dr
Towson, MD 21204-7743
Phone (888) 972-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Diagnostic Imaging Specialists P a Nuclear Imaging & Therapy CurrentSince Jul 1, 2001 Accepting new patients
University Imaging Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
University of Maryland Diagnostic Radiology, LLC CurrentSince Jul 8, 2017 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Nuclear Imaging & Therapy CurrentSince Jul 8, 2017 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Nuclear Imaging & Therapy CurrentSince Jul 1, 2001 Accepting new patients
Advanced Radiology P a CurrentSince Feb 1, 2023 Accepting new patients
Advanced Radiology P a CurrentSince Feb 1, 2023 Accepting new patients
University Imaging Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Shipley's Imaging, LLC Past Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

8601 Veterans Hwy
Ste 100
Millersville, MD 21108
Phone (410) 729-4450

Interoperability endpoints

  • Direct secure messaging: vdilsizian5102@direct.umm.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1417980491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILSIZIAN",
        "first_name": "VASKEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "MD",
            "license": "D0038694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809802600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069938602",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.