Active NPI
Manu Mysore, M.D.
- Cardiovascular Disease Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0089398
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-7877
- Fax
- (410) 328-1048
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0089398 | MD | Primary |
| Hospitalist Physician | 208M00000X | D89398 | MD |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
110 S Paca St FL 7
Baltimore, MD 21201-1642
Phone (410) 328-7877
Other practice location 1
5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (410) 328-7877
Other practice location 2
800 Linden Ave
Baltimore, MD 21201-4622
Phone (410) 225-8301
Other practice location 3
200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 328-7877
Other practice location 4
5 Park Center Ct Ste 200
Owings Mills, MD 21117-4202
Phone (410) 654-0400
Other practice location 5
827 Linden Ave Fl 2
Baltimore, MD 21201-4606
Phone (410) 328-7877
Other practice location 6
419 W Redwood St
Baltimore, MD 21201-1734
Phone (667) 214-1717
Other practice location 7
118 Westminster Pike Ste 106
Reisterstown, MD 21136-1060
Phone (410) 876-0086
Other practice location 8
110 S Paca St Fl 7
Baltimore, MD 21201-1642
Phone (410) 328-7877
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Louisiana State University School of Medicine in New Orleans, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8040
Hospital & facility affiliations
- University of Maryland Medical Center
- University of MD Shore Medical Center at Easton
- Umd Upper Chesapeake Medical Center
- Meritus Medical Center
- University of MD Shore Medical Ctr at Chestertown
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0089398 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Cardiovascular Disease | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| University of Maryland Medical Center, LLC | Past | Accepting new patients |
Locations
800 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8301
419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
110 S Paca St
Fl 7
Baltimore, MD 21201
Phone (410) 328-5842
827 Linden Ave
Fl 2
Baltimore, MD 21201
Phone (443) 682-6800
5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603
5 Park Center Ct
Ste 200
Owings Mills, MD 21117
Phone (410) 363-4900
118 Westminster Pike
Ste 106
Reisterstown, MD 21136
Phone (410) 876-0086
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1689623175
-
- Gastroenterology Physician
- Largo, MD
- NPI 1619860194
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1427410109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S PACA ST FL 7",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642",
"telephone_number": "410-328-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-7877",
"fax_number": "410-328-1048"
}
],
"practiceLocations": [
{
"address_1": "5890 Waterloo Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MD",
"postal_code": "210452617",
"country_code": "US",
"telephone_number": "410-328-7877",
"fax_number": "410-328-1048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Linden Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212014622",
"country_code": "US",
"telephone_number": "410-225-8301",
"fax_number": "410-328-1048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Memorial Ave",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211575726",
"country_code": "US",
"telephone_number": "410-328-7877",
"fax_number": "410-328-1048",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Park Center Ct Ste 200",
"address_purpose": "LOCATION",
"city": "Owings Mills",
"state": "MD",
"postal_code": "211174202",
"country_code": "US",
"telephone_number": "410-654-0400",
"fax_number": "410-654-0444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "827 Linden Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212014606",
"country_code": "US",
"telephone_number": "410-328-7877",
"fax_number": "410-225-8008",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "419 W Redwood St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011734",
"country_code": "US",
"telephone_number": "667-214-1717",
"fax_number": "410-328-2255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "118 Westminster Pike Ste 106",
"address_purpose": "LOCATION",
"city": "Reisterstown",
"state": "MD",
"postal_code": "211361060",
"country_code": "US",
"telephone_number": "410-876-0086",
"fax_number": "410-702-7168",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 S Paca St Fl 7",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011642",
"country_code": "US",
"telephone_number": "410-328-7877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYSORE",
"first_name": "MANU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0089398",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D89398",
"primary": false
}
],
"identifiers": [],
"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 Jan 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.