Lawrence Vidaver, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

025559 Issued in MD

Practice address

2506 Larryvale Rd
Baltimore, MD 21209-3206

Phone

(410) 848-8202

Fax

(410) 848-2644

NPI assigned

May 12, 2007

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maryland Healing Waters, LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1366739179
  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Lawrence Vidaver MD

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1336354356
  NPD (past)

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1578778585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LARRYVALE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093206",
            "telephone_number": "410-848-8202",
            "fax_number": "410-848-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 LARRYVALE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093206",
            "telephone_number": "410-848-8202",
            "fax_number": "410-848-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAVER",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "025559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Medical Center
• Victory Medical Center
• Victree ,LLC (Penn Avenue Pharmacy And Medical Equipment)
• Carolina Vidal, M.D., M.P.H.
• Patrick Vidal, MD
• Tremecia Videau, LGSW
• Unknown Vidhu Vadini, MD
• Dorothy Anne Vidra
• Aditya Vidushi
• Paul Joseph Vidziunas, D.D.S.

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.

Verify at the official NPI Registry.