Individual provider Active NPI

Eliot Lawrence Siegel, M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1528020906
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0030836 Issued in MD
Practice address
22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544
Phone
(410) 328-3477
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X D0030836 MD
Diagnostic Radiology Physician 2085R0202X D0030836 MD Primary

Addresses

Primary practice location

22 S Greene St, Dept of Radiology
Baltimore, MD 21201-1544

Mailing address

PO Box 1267
Indianapolis, IN 46206-1267
Phone (433) 331-1894

Other practice location 1

5454 Wisconsin Ave
Bethesda, MD 20815-6901
Phone (443) 333-1894

Other identifiers 2

IdentifierTypeStateIssuer
010640893MedicaidDC
408011400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL, NJ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080404000103 MD Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 2062599806 Reassigns benefits to 5 organizations
I20181211001707 DC Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 2062599806 Reassigns benefits to 1 organization
I20240929000139 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 2062599806 Reassigns benefits to 1 organization
I20241013000012 NJ Practitioner - Nuclear Medicine 2062599806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
Education
University of Maryland School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians
University of Maryland Diagnostic Imaging Specialists P aGroup PAC ID 7719873298, 81 clinicians
Advanced Molecular Imaging and TherapyGroup PAC ID 2567791700, 5 clinicians
University Imaging Center, LLCGroup PAC ID 2769378686, 56 clinicians
Princeton Theranostics, PCGroup PAC ID 5193262400, 3 clinicians

Practice addresses (Care Compare)

21 Crossroads Dr
Suite 100
Owings Mills, MD 21117-5484
Phone (443) 663-2100

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5700

331 Oak Manor Dr
Suite 201
Glen Burnie, MD 21061-5555
Phone (410) 231-3110

419 W Redwood St
Baltimore, MD 21201-1734
Phone (410) 328-3225

8 Forrestal Rd S
Suite 201
Princeton, NJ 08540-6658
Phone (612) 431-1898

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0030836MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Theranostics, PC CurrentSince Aug 29, 2024 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology CurrentSince Jul 8, 2017 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Nuclear Radiology CurrentSince Jan 1, 1975 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Nuclear Radiology CurrentSince Jan 1, 1975 Accepting new patients
University of Maryland Diagnostic Radiology, LLC Nuclear Radiology CurrentSince Jul 8, 2017 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
University Imaging Center, LLC Nuclear Radiology CurrentSince Oct 1, 2018 Accepting new patients
University Imaging Center, LLC Nuclear Radiology CurrentSince Oct 1, 2018 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Advanced Molecular Imaging and Therapy Nuclear Radiology CurrentSince Jun 1, 2024 Accepting new patients
Shipley'S Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

26999 Network Pl
Chicago, IL 60673

125 W South St
Unit 1267
Indianapolis, IN 46206

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

110 S Paca St
Rm 2S133
Baltimore, MD 21201
Phone (410) 328-1565

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

22 S Greene St
Rm N2E23
Baltimore, MD 21201
Phone (410) 328-5656

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

5454 Wisconsin Ave
Ste 1600
Chevy Chase, MD 20815
Phone (301) 220-1333

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

331 Oak Manor Dr
Ste 201
Glen Burnie, MD 21061
Phone (410) 231-3110

5 N La Plata Ct
Ste 104
La Plata, MD 20646
Phone (301) 539-0345

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

8601 Veterans Hwy
Ste 100
Millersville, MD 21108
Phone (410) 729-4450

21 Crossroads Dr
Ste 100
Owings Mills, MD 21117
Phone (410) 353-8186

21 Crossroads Dr
Ste 120
Owings Mills, MD 21117
Phone (410) 363-0859

8300 Norman Center Dr
Ste 160
Minneapolis, MN 55437

8 Forrestal Rd S
Ste 201
Princeton, NJ 08540
Phone (612) 431-1898

Interoperability endpoints

  • Direct secure messaging: esiegel5063@direct.umm.edu

Organizations & group practices 11

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 3

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1528020906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061267",
            "telephone_number": "433-331-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST, DEPT OF RADIOLOGY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-3477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208156901",
            "country_code": "US",
            "telephone_number": "443-333-1894",
            "fax_number": "443-839-0834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "ELIOT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MD",
            "license": "D0030836",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0030836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010640893",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408011400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.