NPIMap

Organization Active NPI

University of Maryland Physicians P.a.

Doing business as University of Maryland Medical Group - Cardiology

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1689623175
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
UNIVERSITY OF MARYLAND PHYSICIANS P.A.
Doing business as
University of Maryland Medical Group - Cardiology
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-8040
Fax
(410) 328-0248
NPI assigned
May 10, 2006
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Adam Kaufman
Title
Director of Professional Fees
Phone
(410) 328-8040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Interventional Cardiology Physician 207RI0011X

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-8040

Other identifiers 7

IdentifierTypeStateIssuer
4005765OtherTNBLUE CROSS/BLUE SHIELD
761101300MedicaidMD
0344609-06MedicaidDC
1689623175MedicaidMT
8183201MedicaidNJ
3810001951MedicaidWV
1689623175MedicaidDE

Other names 1

  • UNIVERSITY OF MARYLAND MEDICAL GROUP - CARDIOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031105000792 MD Part B Supplier - Clinic/Group Practice 2769394808 Receives reassigned benefits from 634 practitioners
13 other NPIs on this enrollment
O20190410001431 DC Part B Supplier - Clinic/Group Practice 2769394808 Receives reassigned benefits from 3 practitioners
Practice locations: Bowie, MD; Silver Spring, MD; Upper Marlboro, MD
O20241021001001 DC Part B Supplier - Clinic/Group Practice 2769394808 Receives reassigned benefits from 11 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bowie, MD; Upper Marlboro, MD; Silver Spring, MD; Laurel, MD; Largo, MD; College Park, MD; Brandywine, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 22

National Provider Directory

National Provider Directory

Locations (25 of 33)

16 S Poppleton St
Baltimore, MD 21201

22 S Greene St
#N6W100
Baltimore, MD 21201

22 S Greene St
Fl 6
Baltimore, MD 21201
Phone (410) 328-3339

22 S Greene St
Fl 7
Baltimore, MD 21201
Phone (410) 328-7221

22 S Greene St
Fl 8
Baltimore, MD 21201
Phone (410) 328-1358

22 S Greene St
Rm N3W50
Baltimore, MD 21201

22 S Greene St
Rm N3W77
Baltimore, MD 21201

22 S Greene St
Ste MED1
Baltimore, MD 21201

22 S Greene St
Ste MED5
Baltimore, MD 21201

22 S Greene St
Ste MED6
Baltimore, MD 21201

22 S Greene St
Ste MED7
Baltimore, MD 21201

22 S Greene St
Ste MED8
Baltimore, MD 21201

22 S Greene St
Ste MED9
Baltimore, MD 21201

22 S Greene St
Ste N6W100
Baltimore, MD 21201
Phone (410) 328-0393

300 Armory Pl
#1
Baltimore, MD 21201

3407 Wilkens Ave
Baltimore, MD 21229
Phone (240) 804-5368

419 W Redwood St
Ste 101
Baltimore, MD 21201

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

601 N Caroline St
#8072
Baltimore, MD 21287
Phone (410) 955-5933

725 W Lombard St
Baltimore, MD 21201
Phone (410) 706-1684

800 Linden Ave
Fl 8
Baltimore, MD 21201
Phone (443) 682-6800

806 N Collington Ave
Baltimore, MD 21205
Phone (443) 869-6867

821 N Eutaw St
Ste 104
Baltimore, MD 21201
Phone (410) 383-6804

827 Linden Ave
Fl 2S
Baltimore, MD 21201

850 W Baltimore St
Ste 401
Baltimore, MD 21201

Practitioners & affiliated clinicians

Practitioners 661

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 661

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1689623175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-8040",
            "fax_number": "410-328-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-8040",
            "fax_number": "410-328-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND PHYSICIANS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR OF PROFESSIONAL FEES",
        "authorized_official_telephone_number": "410-328-8040"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4005765",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761101300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344609-06",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689623175",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8183201",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001951",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689623175",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY OF MARYLAND MEDICAL GROUP - CARDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.