Active NPI
MD Diagnostics, LLC
- Diagnostic Radiology Physician
- Nottingham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MD DIAGNOSTICS, LLC
- Practice address
- 4155 Glen Park Rd
Nottingham, MD 21236-1019 - Phone
- (410) 248-0661
- NPI assigned
- Apr 23, 2018
- Last updated
- Sep 14, 2026
- Organization subpart
- Yes
- Parent organization
- MARYLAND HEALTHCARE PC
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4155 Glen Park Rd
Nottingham, MD 21236-1019
Mailing address
1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016
Phone (443) 946-9552
Other practice location 1
1300 York Rd Ste 190D
Lutherville Timonium, MD 21093-6016
Phone (443) 946-9552 ext. 85206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180529000194 | MD | Part B Supplier - Portable X-Ray Supplier | 8426313214 | Practice locations: Nottingham, MD |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1780172049. Details of each certification follow.
Portable X-ray supplier certification: CCN 21X0009826
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MD DIAGNOSTICS
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Oct 2, 2018
- Last certification
- Apr 22, 2025
- Ownership / control type
- Individual
- Facility address
- 4155 Glen Park Road
Nottingham, MD 21236
National Provider Directory
National Provider Directory- Part of
- Maryland Healthcare PC
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.
-
- Internal Medicine Physician
- Nottingham, MD
- NPI 1952732430
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Lutherville Timonium, MD
- NPI 1558247601
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": "1789344000000",
"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": "4155 GLEN PARK RD",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212361019",
"telephone_number": "410-248-0661"
}
],
"practiceLocations": [
{
"address_1": "1300 York Rd Ste 190D",
"address_purpose": "LOCATION",
"city": "Lutherville Timonium",
"state": "MD",
"postal_code": "210936016",
"country_code": "US",
"telephone_number": "443-946-9552 x85206",
"fax_number": "443-288-5205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MD DIAGNOSTICS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARYLAND HEALTHCARE PC",
"enumeration_date": "2018-04-23",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"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 Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.