Active NPI
Aleksei Viktorovich Kondrashov
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D99910
- Practice address
- 900 S Caton Ave
Baltimore, MD 21229-5201 - Phone
- (234) 667-3130
- NPI assigned
- Aug 11, 2021
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D99910 | MD | Primary |
Addresses
Primary practice location
900 S Caton Ave
Baltimore, MD 21229-5201
Mailing address
900 S Caton Ave
Baltimore, MD 21229-5201
Phone (234) 667-3130
Other practice location 1
900 S Caton Ave
Baltimore, MD 21229-5201
Phone (234) 667-3130
Other practice location 2
3708 Mountain Rd
Pasadena, MD 21122-2025
Phone (410) 553-8273
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3708 Mountain Rd
Pasadena, MD 21122-2025
Phone (410) 553-2900
Hospital & facility affiliations
- University of MD Baltimore Washington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients |
Locations
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
3708 Mountain Rd
Pasadena, MD 21122
Phone (410) 255-1600
Interoperability endpoints
- alesksei.kondrashovres.p1@direct.bmsi.nextgenshare.com
- akondrashov1100786@direct.umm.edu
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1558036657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S CATON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295201",
"telephone_number": "234-667-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S CATON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295201",
"telephone_number": "234-667-3130"
}
],
"practiceLocations": [
{
"address_1": "900 S Caton Ave",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212295201",
"country_code": "US",
"telephone_number": "234-667-3130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3708 Mountain Rd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "MD",
"postal_code": "211222025",
"country_code": "US",
"telephone_number": "410-553-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONDRASHOV",
"first_name": "ALEKSEI",
"middle_name": "VIKTOROVICH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-11",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D99910",
"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 Jul 2, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.