Individual provider Active NPI

Fredric Stewart Sirkis, M.D.

  • Internal Medicine Physician
  • Towson, MD
National Provider Identifier
1649356247
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0022645 Issued in MD
Practice address
7505 Osler Dr
Suite 308
Towson, MD 21204-7736
Phone
(410) 296-7799
Fax
(410) 307-1001
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0022645 MD Primary

Addresses

Primary practice location

7505 Osler Dr
Suite 308
Towson, MD 21204-7736

Mailing address

7505 Osler Dr
Suite 308
Towson, MD 21204-7736
Phone (410) 296-7799

Other identifiers 7

IdentifierTypeStateIssuer
2623OtherMDELDERHEALTH
7516296OtherMICIGNA HEALTHCARE
904AOtherMDCAREFIRST OF MARYLAND
353218OtherMDAETNA HMO/QPOS
772031900MedicaidMD
4295642OtherMDAETNA CHOICE PLANS
J8510001OtherDCCAREFIRST OF NCA

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
I20040621000321 MD Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9234114760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Maryland School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians

Practice addresses (Care Compare)

2525 Pot Spring Rd
Timonium, MD 21093-2778
Phone (800) 657-6268

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100

Hospital & facility affiliations

  • Stella Maris, Inc. Nursing home, Timonium, MD, CCN 215117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0022645MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Jan 6, 2010 Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients
University of Maryland St. Joseph Medical Group, LLC Past Accepting new patients
Stella Maris Inc Past Accepting new patients
Cardiac Surgery Associates, P.a. Past Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

2300 Dulaney Valley Rd
Timonium, MD 21093
Phone (410) 252-4500

Interoperability endpoints

  • Direct secure messaging: fsirkismd6207@direct.mdmercy.com

Organizations & group practices 7

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1649356247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "SUITE 308",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-296-7799",
            "fax_number": "410-307-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "SUITE 308",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-296-7799",
            "fax_number": "410-307-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRKIS",
        "first_name": "FREDRIC",
        "middle_name": "STEWART",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0022645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEALTH",
            "identifier": "2623",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "7516296",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "904A",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO/QPOS",
            "identifier": "353218",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772031900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CHOICE PLANS",
            "identifier": "4295642",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF NCA",
            "identifier": "J8510001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.