Individual provider Active NPI

Rachel Michelle Kruzan, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1689930976
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D79198 Issued in MD
Practice address
1000 E Eager St
JHCP Ebmc Internal Medicine
Baltimore, MD 21202-5533
Phone
(410) 522-9800
NPI assigned
Apr 11, 2012
Last updated
Aug 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D79198 MD Primary

Addresses

Primary practice location

1000 E Eager St
JHCP Ebmc Internal Medicine
Baltimore, MD 21202-5533

Mailing address

1000 East Eager St
Baltimore, MD 21202
Phone (410) 522-9800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150707000226 MD Practitioner - Internal Medicine 0547410169 Reassigns benefits to 3 organizations
I20160729001619 DC Practitioner - Internal Medicine 0547410169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Medical System, Inc.Group PAC ID 5395653455, shared by 8 NPIs, 86 clinicians

Practice addresses (Care Compare)

5525 Eastern Ave
Baltimore, MD 21224-2796
Phone (410) 558-4804

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D79198MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Jul 5, 2016 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Jul 5, 2016 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Jul 5, 2016 Accepting new patients
Johns Hopkins University Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

4940 Eastern Ave
Baltimore, MD 21224

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • Direct secure messaging: helene.hedian.p1@direct.bmsi.nextgenshare.com
  • Direct secure messaging: rkruzan7365@direct.hopkinsmedicine.org

Organizations & group practices 6

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 4

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1689930976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-522-9800",
            "fax_number": "410-367-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E EAGER ST",
            "address_2": "JHCP EBMC INTERNAL MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025533",
            "telephone_number": "410-522-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUZAN",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D79198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.