Individual provider Active NPI

Elsa Isabel Correa, M.D.

  • Psychiatry Physician
  • Reisterstown, MD
National Provider Identifier
1487620423
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0020136 Issued in MD
Practice address
217 Main Street
Reisterstown, MD 21136-1213
Phone
(410) 833-0580
Fax
(410) 833-8604
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0020136 MD Primary

Addresses

Primary practice location

217 Main Street
Reisterstown, MD 21136-1213

Mailing address

217 Main St
Reisterstown, MD 21136-1213
Phone (410) 833-0580

Other identifiers 2

IdentifierTypeStateIssuer
307840-02OtherMDCAREFIRST OF MARYLAND
307840-06OtherMDCAREFIRST OF MARYLAND

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
I20060321000574 MD Practitioner - Psychiatry 2567479223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Behavioral Health Center, LLCGroup PAC ID 5496762155, 4 clinicians

Practice addresses (Care Compare)

217 Main St
Reisterstown, MD 21136-1213
Phone (410) 833-0581

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0020136MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Franklin Square Physicians LLC Past Accepting new patients
Global Health Services, Inc-PRP Past Accepting new patients
Bay Life Services Corporation Past Accepting new patients
Global Health Services Inc-Omhc Past Accepting new patients
Bay Life Services Corporation Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1487620423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361213",
            "telephone_number": "410-833-0580",
            "fax_number": "410-833-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN STREET",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361213",
            "telephone_number": "410-833-0580",
            "fax_number": "410-833-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "ELSA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0020136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "307840-02",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "307840-06",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.