Individual provider Active NPI

Scott D Krugman, MD

  • Pediatrics Physician
  • Towson, MD
National Provider Identifier
1790754612
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0053136 Issued in MD
Practice address
8000B Loch Raven Blvd
Towson, MD 21286-8337
Phone
(410) 830-2196
Fax
(410) 830-2198
NPI assigned
Mar 14, 2006
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0053136 MD Primary
Hospitalist Physician 208M00000X D53136 MD

Addresses

Primary practice location

8000B Loch Raven Blvd
Towson, MD 21286-8337

Mailing address

2401 W Belvedere Ave
Baltimore, MD 21215-5270
Phone (410) 601-5530

Other practice location 1

2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231
Phone (410) 601-9627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skrugman@direct.lifebridgehealth.org Direct Sinai Hospital of Baltimore, Inc

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
I20040519001557 MD Practitioner - Pediatric Medicine 0749271625 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 9, 2018 Accepting new patients
Sinai Hospital of Baltimore Inc Pediatrics CurrentSince Jul 9, 2018 Accepting new patients
Grace Medical Center, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Bay Life Services Corporation Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients

Locations

2401 W Baltimore St
#C
Baltimore, MD 21223
Phone (410) 945-7706

2401 W Belvedere Ave
Baltimore, MD 21215

2411 W Belvedere Ave
Ste 402
Baltimore, MD 21215
Phone (410) 601-8314

5101 Lanier Ave
Baltimore, MD 21215
Phone (410) 542-7800

Interoperability endpoints

  • Direct secure messaging: skrugman@direct.lifebridgehealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1790754612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155270",
            "telephone_number": "410-601-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000B LOCH RAVEN BLVD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868337",
            "telephone_number": "410-830-2196",
            "fax_number": "410-830-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 W Belvedere Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155231",
            "country_code": "US",
            "telephone_number": "410-601-9627",
            "fax_number": "410-601-9499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUGMAN",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0053136",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D53136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skrugman@direct.lifebridgehealth.org",
            "affiliation": "Y",
            "affiliationName": "Sinai Hospital of Baltimore, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8000B Loch Raven Blvd",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212868337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.