Individual provider Active NPI

Eleonora Gokoyeva, MD

  • Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1679756613
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D67191 Issued in MD
Practice address
200 E 33Rd St
Suite 487
Baltimore, MD 21218-3322
Phone
(410) 554-2780
Fax
(410) 554-6822
NPI assigned
Dec 13, 2007
Last updated
Dec 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X D67191 MD Primary

Addresses

Primary practice location

200 E 33Rd St
Suite 487
Baltimore, MD 21218-3322

Mailing address

200 E 33Rd St
Suite 487
Baltimore, MD 21218-3322
Phone (410) 554-2780

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
I20080812000077 MD Practitioner - Obstetrics/Gynecology 5496829384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845

133 Defense Hwy
Annapolis, MD 21401-7015

75 Thomas Johnson Dr
Suite J
Frederick, MD 21702-4895
Phone (301) 620-0010

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Gynecology CurrentSince Jul 9, 2021 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince May 15, 2013 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince May 15, 2013 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 9, 2021 Accepting new patients
Pulmonologists, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
National Rehabilitation Hospital, Inc. Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

3430 Worthington Blvd
Ste 203
Frederick, MD 21704
Phone (301) 620-0010

75 Thomas Johnson Dr
Ste J
Frederick, MD 21702
Phone (301) 620-0010

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: eleonora.gokoyeva.1@8042.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1679756613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "SUITE 487",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-554-2780",
            "fax_number": "410-554-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST",
            "address_2": "SUITE 487",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-554-2780",
            "fax_number": "410-554-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKOYEVA",
        "first_name": "ELEONORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D67191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.