Individual provider Active NPI

Manu Mysore, M.D.

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1427410109
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0089398 Issued in MD
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

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210401002394 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Hospitalist 6103110853 Reassigns benefits to 1 organization

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
University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8040

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089398MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. CurrentSince Sep 1, 2022 Accepting new patients
University of Maryland Physicians P.a. Cardiovascular Disease CurrentSince Sep 1, 2022 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.