NPIMap

Individual provider Active NPI

Charles A Sansur, MD

  • Neurological Surgery Physician
  • Baltimore, MD
National Provider Identifier
1568679652
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D690008 Issued in MD
Practice address
22 S Greene St
S-12-D
Baltimore, MD 21201-1544
Phone
(410) 328-0282
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D690008 MD Primary

Addresses

Primary practice location

22 S Greene St
S-12-D
Baltimore, MD 21201-1544

Mailing address

22 S Greene St
S-12-D
Baltimore, MD 21201-1544
Phone (410) 328-0282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000089 MD Practitioner - Neurosurgery 0648326579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Maryland School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Shock Trauma Associates PAGroup PAC ID 6800882317, 258 clinicians
University of Maryland Neurosurgery Associates P aGroup PAC ID 9133187750, 24 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002
  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion239
Laminectomy or laminotomy (partial removal of spine bones)75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D690008MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Neurosurgery Associates P a Neurological Surgery CurrentSince Jul 19, 2009 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Sep 16, 2009 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
#S12D
Baltimore, MD 21201
Phone (410) 328-8621

351 W Camden St
Ste 501
Baltimore, MD 21201
Phone (410) 328-6034

22 S Greene St
Ste 12D
Baltimore, MD 21201
Phone (410) 328-6034

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

22 S Greene St
Ste S12D
Baltimore, MD 21201
Phone (410) 328-6034

Interoperability endpoints

  • Direct secure messaging: csansur7309@direct.umm.edu

Organizations & group practices 6

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1568679652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "S-12-D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "S-12-D",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSUR",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D690008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.