Individual provider Active NPI

Elizabeth Guardiani, M.D.

  • Otolaryngology Physician
  • Baltimore, MD
National Provider Identifier
1760634034
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0075624 Issued in MD
Practice address
16 S Eutaw St
Suite 400
Baltimore, MD 21201-1606
Phone
(410) 328-6866
NPI assigned
Oct 18, 2008
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 149326 DC
Otolaryngology Physician 207Y00000X 264916 NY
Otolaryngology Physician 207Y00000X D0075624 MD Primary

Addresses

Primary practice location

16 S Eutaw St
Suite 400
Baltimore, MD 21201-1606

Mailing address

16 S Eutaw St
Suite 500
Baltimore, MD 21201-1606
Phone (410) 328-6866

Other identifiers 1

IdentifierTypeStateIssuer
448227100MedicaidMD

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
I20130913000338 MD Practitioner - Otolaryngology 1759525702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 S Eutaw St
FL 3
Baltimore, MD 21201-1606
Phone (410) 328-6866

16 S Eutaw St
Suite 400
Baltimore, MD 21201-1699
Phone (410) 328-6866

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6866

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (410) 328-6866

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 328-6866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149326DCMDOtolaryngology Physician
D0075624MDMDOtolaryngology Physician
264916NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA CurrentSince Jul 15, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

16 S Eutaw St
Fl 4
Baltimore, MD 21201
Phone (410) 328-1230

16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791

16 S Eutaw St
Ste 500
Baltimore, MD 21201
Phone (410) 328-2477

Interoperability endpoints

  • Direct secure messaging: eguardiani85858@direct.umm.edu

Organizations & group practices 2

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 5

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": "1224288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1760634034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDIANI",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-18",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "149326",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "264916",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0075624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448227100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.