Active NPI
Yoram Tal Unguru, M.D., M.S., M.A.
- Pediatric Hematology & Oncology Physician
- Baltimore, MD
National Provider Identifier
1508943408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- MD036047
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215 - Phone
- (410) 601-5864
- Fax
- (410) 601-6027
- NPI assigned
- Nov 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD036047 | DC | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215
Mailing address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-6704
Other practice location 1
111 Michigan Ave NW
Children's National Medical Center
Washington, DC 20010-2978
Phone (202) 884-5134
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036047 | DC | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Pediatric Hematology-Oncology | Current | Accepting new patients |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Past | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
Organizations & group practices 5
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.
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Pediatric Hematology & Oncology Physician
- Baltimore, MD
- NPI 1801811435
Pediatric Hematology-Oncology
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1508943408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21215",
"telephone_number": "410-601-5864",
"fax_number": "410-601-6027"
}
],
"practiceLocations": [
{
"address_1": "111 Michigan Ave NW",
"address_2": "Children's National Medical Center",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102978",
"country_code": "US",
"telephone_number": "202-884-5134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNGURU",
"first_name": "YORAM",
"middle_name": "TAL",
"name_prefix": "Dr.",
"credential": "M.D., M.S., M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "DC",
"license": "MD036047",
"primary": true
}
],
"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 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.