Active NPI
MD Diagnostics, LLC
- Diagnostic Radiology Physician
- Lutherville Timonium, MD
National Provider Identifier
1780172049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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 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
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Internal Medicine Physician
- Nottingham, MD
- NPI 1952732430
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.