Organization Active NPI

MD Diagnostics, LLC

  • Diagnostic Radiology Physician
  • Lutherville Timonium, MD
National Provider Identifier
1780172049
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MD DIAGNOSTICS, LLC
Practice address
1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016
Phone
(443) 946-9552
Fax
(443) 288-5205
NPI assigned
Apr 23, 2018
Organization subpart
Yes
Parent organization
MARYLAND HEALTHCARE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Minnie Ceniza Tampus, CRNP
Title
Practice Manager
Phone
(443) 288-5206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016

Mailing address

1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016
Phone (443) 946-9552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180529000194 MD Part B Supplier - Portable X-Ray Supplier 8426313214 Practice locations: Nottingham, MD

National Provider Directory

National Provider Directory
Part of
Maryland Healthcare PC

Locations

1300 York Rd
Ste 190D
Lutherville Timonium, MD 21093
Phone (443) 288-5206

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1780172049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 190D",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "443-946-9552",
            "fax_number": "443-288-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 190D",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936016",
            "telephone_number": "443-946-9552",
            "fax_number": "443-288-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD DIAGNOSTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARYLAND HEALTHCARE PC",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "TAMPUS",
        "authorized_official_first_name": "MINNIE",
        "authorized_official_middle_name": "CENIZA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "443-288-5206",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.