Maryland Nuclear Medicine Associates

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

Legal business name

MARYLAND NUCLEAR MEDICINE ASSOCIATES

Practice address

5601 Loch Raven Blvd
Baltimore, MD 21239-2905

Phone

(410) 532-8000

NPI assigned

Dec 29, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pablo E Dibos, M.D.

Title

President

Phone

(410) 532-8000

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700942083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-532-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-532-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND NUCLEAR MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DIBOS",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-532-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "LZ63MA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "T294",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryland Medical First P.a.
• Maryland Medical Rehabilitation, P.C.
• Maryland Metro Rehab LLC
• Maryland Nephrology Clinic LLC
• Maryland Neuroophthalmology, LLC
• Maryland Pharmacists Association
• Maryland Pharmacy and Home Infusion Inc. (Zonetak Pharmacy 3)
• Maryland Pharmacy and Home Infusion Inc. (Zonetak Pharmacy 4)
• Maryland Physical Therapy Group, Inc. Ta Mid-Towne Medical Group, Inc. (Mid-Towne Medical Group, Inc.)
• Maryland Physicians Associates

• 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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.