St Paul Place Specialists Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ST PAUL PLACE SPECIALISTS INC

Practice address

301 St. Paul Place
Baltimore, MD 21202-2102

Phone

(410) 332-9000

NPI assigned

May 16, 2006

Last updated

Dec 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Deibel

Title

Executive Vice President & Cfo

Phone

(410) 659-2905

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD, DC, WA, IL, FL, GA, CT, DE, MN, PA, MT, NV, TX, WI, NC, WV, NY, ID, AZ, NH, NE, MO, CA, UT, MA, KY, TN, VA, CO, VT, MI31 enrollments

Enrollment records 31

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• St Paul Place Specialists, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Baltimore, MD
  • NPI 1679618359

  7719882943

  Same PAC ID
• St. Paul Place Specialists, Inc.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Baltimore, MD
  • NPI 1871549196

  7719882943

  Same PAC ID

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Saint Paul Place Specialists, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Baltimore, MD
  • NPI 1053352070

  O20031202000084

  Same enrollment
• Saint Paul Place Specialists, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1225075856

  O20031202000084

  Same enrollment
• Saint Paul Place Specialists, Inc.

  • Pulmonary Disease Physician
  • Baltimore, MD
  • NPI 1306887682

  O20031202000084

  Same enrollment
• Saint Paul Place Specialists, Inc.

  • Surgical Oncology Physician
  • Baltimore, MD
  • NPI 1336195650

  O20031202000084

  Same enrollment
• Saint Paul Place Specialists, Inc.

  • Radiation Oncology Physician
  • Baltimore, MD
  • NPI 1427004746

  O20031202000084

  Same enrollment
• Saint Paul Place Specialists, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Baltimore, MD
  • NPI 1518913839

  O20031202000084

  Same enrollment
• Saint Paul Place Specialists, Inc.

  • Dermatology Physician
  • Baltimore, MD
  • NPI 1528014842

  O20031202000084

  Same enrollment
• Saint Paul Place Specialists, Inc.

  • Obstetrics & Gynecology Physician
  • Pikesville, MD
  • NPI 1639110919

  O20031202000084

  Same enrollment
• Saint Paul Place Specialists, Inc.

  • Nuclear Medicine Physician
  • Baltimore, MD
  • NPI 1881635464

  O20031202000084

  Same enrollment
• St Paul Place Specialists, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1154362473

  O20031202000084

  Same enrollment
• St Paul Place Specialists, Inc.

  • Hematology & Oncology Physician
  • Baltimore, MD
  • NPI 1174564736

  O20031202000084

  Same enrollment
• St Paul Place Specialists, Inc.

  • Rheumatology Physician
  • Baltimore, MD
  • NPI 1497796775

  O20031202000084, O20120605000602, O20220613001806

  Same enrollment

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Emergency Physicians SPPS

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1760885958

  Member Of

  NPD member
• Mercy Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1144282583

  Member Of

  NPD member

Locations

Practitioners 633

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jahinover Mazo, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1427554872

  DC

  Medicare reassignment Care Compare group NPD
• Mary Margaret Alfidi, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1992814396

  FL

  Medicare reassignment Care Compare group NPD
• Michael Scott Allen, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1083662654

  TX

  Medicare reassignment Care Compare group NPD
• James Balodimas, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1730147265

  NV

  Medicare reassignment Care Compare group NPD
• Sara Banerjee, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1194928416

  AZ

  Medicare reassignment Care Compare group NPD
• Jonathan Breslau, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1942208699

  CA

  Medicare reassignment Care Compare group NPD
• Jennifer Elizabeth Bryant, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1396751426

  CT

  Medicare reassignment Care Compare group NPD
• Andre Chartier, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1134414527

  NC

  Medicare reassignment Care Compare group NPD
• Clarence Coolidge Coleman Jr., M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1528058096

  NC

  Medicare reassignment Care Compare group NPD
• Brian G. Cromwell, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1548231541

  AZ

  Medicare reassignment Care Compare group NPD
• Dawn Nichelle Delavallade, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1750445086

  FL

  Medicare reassignment Care Compare group NPD
• James P Earls, MD

  • Diagnostic Radiology Physician
  • Winchester, VA
  • NPI 1679591689

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1497707681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824173",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ST. PAUL PLACE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL PLACE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "DEIBEL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "410-659-2905"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "S188",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "S187",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Agnes Hospital
• Bryce St Clair, OD
• St Elizabeth School
• Dorian S St Martin, MD
• St Paul & Biddle Medical Assoc.
• St Paul Place Specialists, Inc.
• St Paul Place Specialists, Inc.
• St Paul Place Specialists, Inc.
• St Paul Place Specialists, Inc.
• St Paul Place Specialists, Inc.

• Diagnostic Radiology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.