Individual provider Active NPI

Gerard Lowder, M.D.

  • Nephrology Physician
  • Glen Burnie, MD
National Provider Identifier
1447258876
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D29296 Issued in MD
Practice address
6934 Aviation Blvd Ste F
Glen Burnie, MD 21061-2593
Phone
(410) 760-3588
Fax
(410) 760-3604
NPI assigned
Jul 11, 2005
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D29296 MD Primary

Addresses

Primary practice location

6934 Aviation Blvd Ste F
Glen Burnie, MD 21061-2593

Mailing address

1589 Sulphur Spring Rd
Suite 109
Baltimore, MD 21227-2542
Phone (410) 536-5400

Other identifiers 1

IdentifierTypeStateIssuer
321091000MedicaidMD

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
I20100520000160 MD Practitioner - NephrologyPractitioner - Internal Medicine 5193702447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

6934 Aviation Blvd
Suite F
Glen Burnie, MD 21061-2593
Phone (410) 760-3588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D29296MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince Jan 1, 1999 Accepting new patients

Locations

5999 Harpers Farm Rd
Ste W250
Columbia, MD 21044
Phone (410) 772-8822

6934 Aviation Blvd
Ste F
Glen Burnie, MD 21061
Phone (410) 760-3588

808 Landmark Dr
Ste 122
Glen Burnie, MD 21061
Phone (410) 760-3588

1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400

Interoperability endpoints

  • Direct secure messaging: gerardlowder@mana.allscriptsdirect.net
  • Direct secure messaging: glowder49705@direct.umm.edu

Organizations & group practices 1

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 6

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1447258876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD STE F",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "410-760-3588",
            "fax_number": "410-760-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWDER",
        "first_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D29296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321091000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.