Active NPI
Maryland Kidney Group PA
- Nephrology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MARYLAND KIDNEY GROUP PA
- Practice address
- 6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373 - Phone
- (443) 559-5063
- Fax
- (443) 559-5078
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalid K Al-Talib, MD
- Title
- Head Physician
- Phone
- (443) 559-5063
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373
Mailing address
6830 Hospital Dr
Suite 204
Baltimore, MD 21237-4373
Phone (443) 559-5063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 787830300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329000659 | MD | Part B Supplier - Clinic/Group Practice | 2860384328 |
Receives reassigned benefits from 9 practitioners Practice locations: Baltimore, MD; Towson, MD; Timonium, MD; Nottingham, MD; Essex, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0978590 | Maryland Kidney Group | Certificate of waiver | Dec 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
827 Linden Ave
Ste 217
Baltimore, MD 21201
Phone (410) 225-8480
9105 Franklin Square Dr
Ste 217
Baltimore, MD 21237
Phone (301) 391-8376
821 N Eutaw St
Ste 401
Baltimore, MD 21201
Phone (410) 383-3450
1 Nashua Ct
Ste E
Essex, MD 21221
Phone (410) 687-5580
110 Stemmers Run Rd
Essex, MD 21221
Phone (410) 238-7393
1 Nashua Ct
Essex, MD 21221
9411 Philadelphia Rd
Rosedale, MD 21237
Phone (410) 235-5620
5235 King Ave
Rosedale, MD 21237
Phone (443) 730-2020
9411 Philadelphia Rd
Ste B
Rosedale, MD 21237
7801 York Rd
Towson, MD 21204
Phone (410) 500-9182
113 West Rd
Towson, MD 21204
Phone (410) 825-3690
7601 Osler Dr
Ste 111
Towson, MD 21204
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adolescent Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1972614105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1659336261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 HOSPITAL DR",
"address_2": "SUITE 204",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374373",
"telephone_number": "443-559-5063",
"fax_number": "443-559-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6830 HOSPITAL DR",
"address_2": "SUITE 204",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374373",
"telephone_number": "443-559-5063",
"fax_number": "443-559-5078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLAND KIDNEY GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "AL-TALIB",
"authorized_official_first_name": "KHALID",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "HEAD PHYSICIAN",
"authorized_official_telephone_number": "443-559-5063",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "787830300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
- Maryland Institute College of Art
- Maryland Integrated Services LLC
- Maryland Intergenerational Health Care
- Maryland Interventional Pain Management, LLC
- Maryland Kidney Associates, LLC
- Maryland Medical Day Services, LLC
- Maryland Medical First P.a.
- Maryland Medical Rehabilitation, P.C.
- Maryland Metro Rehab LLC
- Maryland Nephrology Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.