Individual provider Active NPI

Chana Shamtoob, PA-C

  • Physician Assistant
  • Towson, MD
National Provider Identifier
1598400699
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008334 Issued in MD
Practice address
6701 N Charles St
Towson, MD 21204-6808
Phone
(443) 849-4325
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008334 MD Primary
Psychiatry Physician 2084P0800X C0008334 MD

Addresses

Primary practice location

6701 N Charles St
Towson, MD 21204-6808

Mailing address

120 Sister Pierre Dr Ste 403
Baltimore, MD 21204-7536
Phone (410) 823-6408

Other identifiers 1

IdentifierTypeStateIssuer
889507400MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.pamllc.us/locations/towson

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312000054 MD Practitioner - Physician Assistant 7113363276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

6565 N Charles St
Baltimore, MD 21204-5805

6565 N Charles St
Baltimore, MD 21204-6808

6565 N Charles Street
201 Pulmonary Medicine at GBMC
Baltimore, MD 21204-5805
Phone (443) 849-3901

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0008334MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince Feb 10, 2024 Accepting new patients
Psych Associates of Maryland LLC Psychiatry CurrentSince May 1, 2022 Accepting new patients
Greater Baltimore Medical Center, Inc. Physician Assistant CurrentSince Feb 10, 2024 Accepting new patients

Locations

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760

Organizations & group practices 4

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 1

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1598400699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SISTER PIERRE DR STE 403",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212047536",
            "telephone_number": "410-823-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-849-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMTOOB",
        "first_name": "CHANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008334",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "C0008334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889507400",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.pamllc.us/locations/towson",
            "affiliation": "N",
            "address_1": "120 Sister Pierre Dr Ste 403",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212047536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.