Individual provider Active NPI

Sally Mae Pinkstaff, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Baltimore, MD
National Provider Identifier
1588602015
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D58652 Issued in MD
Practice address
2401 W Belvedere Ave
Suite 21
Baltimore, MD 21215-5216
Phone
(410) 601-5961
Fax
(410) 601-9390
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D58652 MD Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D58652 MD

Addresses

Primary practice location

2401 W Belvedere Ave
Suite 21
Baltimore, MD 21215-5216

Mailing address

PO Box 64264
Baltimore, MD 21264-4264
Phone (410) 558-5234

Other identifiers 3

IdentifierTypeStateIssuer
110248857OtherMDR/R MEDICARE PROVIDER #
362230400MedicaidMD
CA8374OtherMDR/R MEDICARE GROUP #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131024001720 MD Practitioner - Endocrinology 6204816994 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D58652MDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Feb 17, 2003 Accepting new patients
Sinai Hospital of Baltimore Inc Endocrinology, Diabetes & Metabolism CurrentSince Feb 17, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Endocrinology, Diabetes & Metabolism Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore, Inc. Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

2401 W Belvedere Ave
Ste 21
Baltimore, MD 21215
Phone (410) 601-5961

2435 W Belvedere Ave
Ste 21
Baltimore, MD 21215
Phone (410) 601-5961

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1588602015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64264",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644264",
            "telephone_number": "410-558-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "SUITE 21",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5961",
            "fax_number": "410-601-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTAFF",
        "first_name": "SALLY",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D58652",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D58652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE PROVIDER #",
            "identifier": "110248857",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362230400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE GROUP #",
            "identifier": "CA8374",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.