Individual provider Active NPI

Brendon Paltoo, MD

  • Cardiovascular Disease Physician
  • Cambridge, MD
National Provider Identifier
1629065768
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D57040 Issued in MD
Practice address
105 Aurora St
Cambridge, MD 21613-1903
Phone
(410) 228-9515
Fax
(410) 228-1453
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D57040 MD Primary

Addresses

Primary practice location

105 Aurora St
Cambridge, MD 21613-1903

Mailing address

105 Aurora St
Cambridge, MD 21613-1903
Phone (410) 228-9515

Other identifiers 5

IdentifierTypeStateIssuer
966604401MedicaidMD
060064602OtherMDRR MEDICARE
060064602OtherMDPALMETTO GBA/RAILROAD MEDICARE
60764602OtherMDCAREFIRST BS
E6360006OtherMDFEDERAL BS

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
I20101026000898 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486847142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Howard University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M.S. Shariff, M.D., P.a.Group PAC ID 4284673567, 9 clinicians

Practice addresses (Care Compare)

105 Aurora St
Cambridge, MD 21613-1903
Phone (410) 228-9515

503 /505 Byrn St
Cambridge, MD 21613-1917
Phone (410) 221-7770

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M.S. Shariff, M.D., P.a. CurrentSince Jul 2, 2001 Accepting new patients
M.S. Shariff, M.D., P.a. Cardiovascular Disease CurrentSince Jul 2, 2001 Accepting new patients

Locations

105 Aurora St
Cambridge, MD 21613
Phone (410) 228-9515

Interoperability endpoints

  • Direct secure messaging: bpaltoo450130@direct.umm.edu

Organizations & group practices 2

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1629065768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 AURORA ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131903",
            "telephone_number": "410-228-9515",
            "fax_number": "410-228-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 AURORA ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131903",
            "telephone_number": "410-228-9515",
            "fax_number": "410-228-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALTOO",
        "first_name": "BRENDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D57040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "966604401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060064602",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA/RAILROAD MEDICARE",
            "identifier": "060064602",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BS",
            "identifier": "60764602",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BS",
            "identifier": "E6360006",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.