Organization Active NPI

Ideal Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Baltimore, MD
National Provider Identifier
1558825307
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
IDEAL ENDOCRINOLOGY LLC
Practice address
3000 Chestnut Ave Ste 202
Baltimore, MD 21211-2794
Phone
(443) 842-4825
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Authorized official

Name
Dr. Corina Cornelia Fratila, MDNPI 1184735656
Title
Founder/President
Phone
(443) 847-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

3000 Chestnut Ave Ste 202
Baltimore, MD 21211-2794

Mailing address

7 Charlesbrooke Rd
Baltimore, MD 21212-1205
Phone (443) 847-5511

Other identifiers 1

IdentifierTypeStateIssuer
1184735656OtherMDNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1558825307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHARLESBROOKE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121205",
            "telephone_number": "443-847-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CHESTNUT AVE STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112794",
            "telephone_number": "443-842-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "FRATILA",
        "authorized_official_first_name": "CORINA",
        "authorized_official_middle_name": "CORNELIA",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "443-847-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184735656",
            "state": "MD"
        }
    ],
    "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 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.