Fidel Integrated Medical Solutions PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FIDEL INTEGRATED MEDICAL SOLUTIONS PC

Practice address

1866F Reisterstown Rd
Baltimore, MD 21208-1335

Phone

(410) 484-5642

Fax

(410) 484-5541

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ilene Elkins Fidel, DCNPI 1003995879

Title

Co-Owner

Phone

(410) 358-0060

Specialties & licenses 12

Addresses

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilene Elkins Fidel, D.C.

  • Chiropractor
  • Pikesville, MD
  • NPI 1003995879
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Marc Fidel, D.C.

  • Chiropractor
  • Pikesville, MD
  • NPI 1154490050
  Medicare reassignment Care Compare group NPD
• Kelly Keller-James

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1427766203

  Family

  Medicare reassignment Care Compare group NPD
• Robin Genendlis Korotki, P.T.

  • Physical Therapist
  • Towson, MD
  • NPI 1235139064
  Medicare reassignment Care Compare group NPD
• Joshua Aaron Levin, DC

  • Chiropractor
  • Pikesville, MD
  • NPI 1568472272
  Medicare reassignment Care Compare group NPD
• Antoine Jerrell Wright, D.C.

  • Chiropractor
  • Pikesville, MD
  • NPI 1306439492
  Medicare reassignment Care Compare group NPD
• Mary Anderson, CRNP

  • Acute Care Nurse Practitioner
  • Baltimore, MD
  • NPI 1225418221
  Medicare reassignment NPD
• Ashley Marie Lewis, DC

  • Chiropractor
  • Baltimore, MD
  • NPI 1396574240
  Medicare reassignment NPD
• Garry Brown, LMT

  • Massage Therapist
  • Pikesville, MD
  • NPI 1518643493
  NPD
• Blaine A Johnson, D.C.

  • Chiropractor
  • Bel Air, MD
  • NPI 1447389820
  NPD (past)
• Cheryl Ellen Kalb, D.C.

  • Chiropractor
  • Baltimore, MD
  • NPI 1104915719
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1770968687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866F REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081335",
            "telephone_number": "410-484-5642",
            "fax_number": "410-484-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866F REISTERSTOWN RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081335",
            "telephone_number": "410-484-5642",
            "fax_number": "410-484-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL INTEGRATED MEDICAL SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "FIDEL",
        "authorized_official_first_name": "ILENE",
        "authorized_official_middle_name": "ELKINS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "410-358-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fibus Drug Store Inc
• Fibus Drug Store Inc
• James R Ficke, MD
• Lisa Fickenscher, CRNP
• Fidel Chiropractic Center, Inc.
• Whitney Fidelis, MD
• Christopher Gerard Fielding, DDS
• Jordan Lambert Fielding, MD
• Abbie L Fields, MD
• Ameel Fields

• Physical Medicine & Rehabilitation Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.