Active NPI
David Sidransky, M.D.
- Medical Oncology Physician
- Baltimore, MD
National Provider Identifier
1629147863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- D36597
- Practice address
- 720 Rutland Ave
Baltimore, MD 21205-2109 - Phone
- (410) 502-5153
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D36597 | MD | |
| Medical Oncology Physician | 207RX0202X | D36597 | MD | Primary |
| Otolaryngology Physician | 207Y00000X | D36597 | MD |
Addresses
Primary practice location
720 Rutland Ave
Baltimore, MD 21205-2109
Mailing address
PO Box 64588
Baltimore, MD 21264-4588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D36597 | MD | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1629147863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64588",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 RUTLAND AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052109",
"telephone_number": "410-502-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDRANSKY",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D36597",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MD",
"license": "D36597",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D36597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.