Gabriel Soudry, M.D.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

D45134 Issued in MD

Practice address

9000 Franklin Square Dr
Baltimore, MD 21237-3901

Phone

(410) 935-6685

NPI assigned

Aug 25, 2006

Last updated

Sep 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nuclear MedicineAlso: Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
• Medstar Harbor Hospital Hospital, Baltimore, MD, CCN 210034
• Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
• Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056
• Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

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

Merit-based Incentive Payment System (MIPS)

Final score

81.33 of 100Reported as group

Quality

63.33

Promoting interoperability

100

Improvement activities

40

Cost

74.44

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Radiology P a

  • Diagnostic Radiology Physician
  • Owings Mills, MD
  • NPI 1932167178

  Nuclear Medicine

  Medicare reassignment Care Compare group NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Medstar Medical Group Radiology, LLC

  • Diagnostic Radiology Physician
  • Washington, DC
  • NPI 1326450156

  MD, Nuclear Medicine

  Medicare reassignment NPD
• Gabriel Soudry MD

  • Nuclear Imaging & Therapy Physician
  • Baltimore, MD
  • NPI 1316003627
  NPD Authorized official
• Gabriel Soudry MD PA

  dba Chesapeake Nuclear Medicine

  • Nuclear Imaging & Therapy Physician
  • Baltimore, MD
  • NPI 1811053127
  Authorized official Same address or phone
• Advanced Radiology P a

  • Diagnostic Radiology Physician
  • Columbia, MD
  • NPI 1922963776

  Nuclear Medicine

  NPD
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franklin Square Hospital Center, Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1184712085
  Care Compare affiliation
• Harbor Hospital, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1720175623
  Care Compare affiliation
• The Good Samaritan Hospital of Maryland, Inc

  dba MedStar Good Samaritan

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1811084718
  Care Compare affiliation
• The Union Memorial Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1487741427
  Care Compare affiliation
• Washington Hospital Center Corporation

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1548378235
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1679681225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "410-935-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "410-935-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDRY",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D45134",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MD",
            "license": "D45134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "60982201",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364201100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "T3900001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Oluwadamilola Sotubo, PHARMD
• Victor Sotubo
• Elizabeth M Soucy, RD, LDN
• Melissa A. Souder, PHARMD
• Ethan Soudry, M.D.
• Samantha Souhrada, PA-C
• Elena Soukhov, MD
• Soul Soil Healing LLC
• Soul-Renity, LLC
• Soul-Renity, LLC

• Nuclear Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nuclear Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.