Individual provider Active NPI

Issam E. Cheikh, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Baltimore, MD
National Provider Identifier
1639132848
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0014748 Issued in MD
Practice address
200 E 33Rd St
Ste 512
Baltimore, MD 21218-3322
Phone
(410) 554-4511
NPI assigned
Apr 10, 2006
Last updated
May 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0014748 MD Primary

Addresses

Primary practice location

200 E 33Rd St
Ste 512
Baltimore, MD 21218-3322

Mailing address

200 E 33Rd St
Ste 512
Baltimore, MD 21218-3322
Phone (410) 554-4511

Other identifiers 2

IdentifierTypeStateIssuer
118501200MedicaidMD
306530-03 & 04OtherMDBLUE CROSS/BLUE SHIELD

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
I20070827000438 MD Practitioner - EndocrinologyPractitioner - Internal Medicine 1658463369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

200 E 33Rd St
223 MMG 33Rd St Professional BLDG
Baltimore, MD 21218-3322
Phone (410) 554-2696

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0014748MDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2019 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Oct 1, 2006 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. Endocrinology, Diabetes & Metabolism CurrentSince Oct 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 E 33rd St
Ste 329
Baltimore, MD 21218
Phone (410) 554-4509

200 E 33rd St
Ste 501
Baltimore, MD 21218
Phone (410) 243-4982

200 E 33rd St
Ste 512
Baltimore, MD 21218
Phone (410) 261-8950

200 E 33rd St
Ste 551
Baltimore, MD 21218
Phone (410) 243-4982

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

201 E University Pkwy
#512
Baltimore, MD 21218
Phone (410) 889-6357

201 E University Pkwy
Ste 512
Baltimore, MD 21218
Phone (410) 889-6357

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

3333 N Calvert St
Ste 670
Baltimore, MD 21218
Phone (410) 933-9000

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

8000 York Rd
Ste Bc
Towson, MD 21252
Phone (410) 704-2707

Organizations & group practices 6

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.

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1639132848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "STE 512",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-554-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "STE 512",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-554-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEIKH",
        "first_name": "ISSAM",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0014748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118501200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "306530-03 & 04",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.