Individual provider Active NPI

Arun A Mavanur, MD

  • Surgical Oncology Physician
  • Baltimore, MD
National Provider Identifier
1700080439
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
D0071274 Issued in MD
Practice address
2401 W Belvedere Ave
1St Floor Main
Baltimore, MD 21215-5216
Phone
(410) 601-8317
Fax
(410) 601-9345
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X D0071274 MD Primary

Addresses

Primary practice location

2401 W Belvedere Ave
1St Floor Main
Baltimore, MD 21215-5216

Mailing address

2401 W Belvedere Ave
1St Floor Main
Baltimore, MD 21215-5216
Phone (410) 601-8317

Other identifiers 1

IdentifierTypeStateIssuer
D0071274OtherMDSTATE LICENSE

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
I20110228000706 MD Practitioner - Surgical Oncology 0042319253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2401 W Belvedere Ave
Lapidus Cancer Institute
Baltimore, MD 21215-5216
Phone (410) 601-8317

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.38 of 100Reported as individual
Quality
53.15
Promoting interoperability
100
Improvement activities
40
Cost
54.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision30
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc Surgical Oncology CurrentSince Jan 1, 2012 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Surgical Oncology Associates MD-PA Surgical Oncology Past Accepting new patients

Locations

2401 W Belvedere Ave
#46
Baltimore, MD 21215

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 41
Baltimore, MD 21215
Phone (410) 601-6412

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

2401 W Belvedere Ave
Fl 1
Baltimore, MD 21215
Phone (410) 601-4725

Organizations & group practices 4

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 3

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1700080439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "1ST FLOOR MAIN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-8317",
            "fax_number": "410-601-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "1ST FLOOR MAIN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-8317",
            "fax_number": "410-601-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVANUR",
        "first_name": "ARUN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MD",
            "license": "D0071274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0071274",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.