Stephen J Condouris, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R204143 Issued in MD

Practice address

4544 Keswick Rd
Baltimore, MD 21210

Phone

(410) 852-0458

NPI assigned

Jul 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

Practice roles

Locations

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.

• Sinai Hospital of Baltimore, Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1790997369

  MD

  Medicare reassignment Care Compare group NPD
• Mep Health, LLC

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1164483558

  MD

  Medicare reassignment NPD
• Mep Observation Services LLC

  • Emergency Medicine Physician
  • Cumberland, MD
  • NPI 1093003550

  MD, Nurse Practitioner

  Medicare reassignment NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bowie, MD
  • NPI 1093130924

  DC

  Medicare reassignment NPD
• Wellness Legacy LLC

  • Nurse Practitioner
  • Bel Air, MD
  • NPI 1134777576

  MD, Nurse Practitioner

  Medicare reassignment NPD
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  Care Compare group NPD
• Sky Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1447939152
  NPD Authorized official
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Care Compare group
• Sinai Hospital of Baltimore Inc

  • Community/Retail Pharmacy
  • Baltimore, MD
  • NPI 1598040073
  Care Compare group
• Sinai Hospital of Baltimore Inc

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1619992237
  Care Compare group
• Sinai Hospital of Baltimore Inc

  • Pediatric Gastroenterology Physician
  • Baltimore, MD
  • NPI 1992720528
  Care Compare group
• Sinai Hospital of Baltimore, Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baltimore, MD
  • NPI 1013275981
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669994505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 KESWICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102515",
            "telephone_number": "410-852-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 KESWICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21210",
            "telephone_number": "410-852-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDOURIS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R204143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concerted Care Group, LLC
• Concerted Care Group, LLC
• Concordia Regional Pain Service, LLC
• Aminata Conde, PA-C
• Caitlin Condit, PHD
• Conduit Inc
• Conduit Inc
• Conduit Inc
• Conduit Inc
• Conduit Inc.

• All providers in Baltimore, MD
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.