Individual provider Active NPI

Tedine Ranich, M.D.

  • Nephrology Physician
  • Lutherville, MD
National Provider Identifier
1669470100
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D59329 Issued in MD
Practice address
1205 York Rd Ste 26
Lutherville, MD 21093-6211
Phone
(410) 532-1640
Fax
(410) 321-5787
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D59329 MD Primary

Addresses

Primary practice location

1205 York Rd Ste 26
Lutherville, MD 21093-6211

Mailing address

1589 Sulphur Spring Rd
Suite 109
Baltimore, MD 21227-2542
Phone (410) 536-5400

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
I20100514000430 MD Practitioner - Nephrology 1153459995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Pittsburgh School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

1205 York Rd
Lutherville, MD 21093-6211
Phone (410) 532-1640

Hospital & facility affiliations

  • DaVita Greenspring Dialysis Center Dialysis facility, Baltimore, MD, CCN 212551
  • DaVita Aviation Blvd Dialysis Dialysis facility, Glen Burnie, MD, CCN 212631
  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012
  • Levindale Hebrew Geriatric Center and Hospital Hospital, Baltimore, MD, CCN 210064
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D59329MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince May 19, 2024 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology CurrentSince Jul 1, 2002 Accepting new patients
Dialysis Access Services, LLC CurrentSince Aug 28, 2017 Accepting new patients
Dialysis Access Services, LLC CurrentSince Aug 28, 2017 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology PastSince Oct 5, 2025 Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1666 Sulphur Spring Rd
Baltimore, MD 21227
Phone (410) 242-0029

1589 Sulphur Spring Rd
Ste 109
Halethorpe, MD 21227
Phone (410) 536-5400

1205 York Rd
Ste 26
Lutherville, MD 21093
Phone (410) 532-1640

25 Crossroads Dr
Ste 205
Owings Mills, MD 21117
Phone (410) 602-7792

2405 York Rd
Ste 100
Timonium, MD 21093
Phone (410) 560-2257

8501 La Salle Rd
Ste 103
Towson, MD 21286
Phone (410) 532-1640

Interoperability endpoints

  • Direct secure messaging: tedineranich@mana.allscriptsdirect.net

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 8

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1669470100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 SULPHUR SPRING RD",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212272542",
            "telephone_number": "410-536-5400",
            "fax_number": "410-737-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 26",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "410-532-1640",
            "fax_number": "410-321-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANICH",
        "first_name": "TEDINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D59329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.