Inna Bardoff, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R176299 Issued in MD

Practice address

1838 Greene Tree Rd
Suite 400
Baltimore, MD 21208-6391

Phone

(410) 602-7782

Fax

(410) 602-2438

NPI assigned

Aug 15, 2014

Last updated

Oct 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Inna Rubin Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifebridge Community Gastroenterology LLCGroup PAC ID 7618108119, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifebridge Community Gastroenterology, LLC

  dba Woodholme Gastroenterology Associates

  • Gastroenterology Physician
  • Pikesville, MD
  • NPI 1033558416
  Medicare reassignment Care Compare group NPD
• Pikesville MD Endoscopy ASC LLC

  dba EndoCentre of Baltimore

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
  • NPI 1043497019
  NPD
• Dr Wendy Kloesz, M.D., P.a

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1144472887
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  Care Compare affiliation
• Sinai Hospital of Baltimore, Inc.

  dba Grace Medical Center, A Sinai Hospital Facility

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1487325874
  Care Compare affiliation

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1801295803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62887",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642887",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 400",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-7782",
            "fax_number": "410-602-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDOFF",
        "first_name": "INNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R176299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INNA",
            "last_name": "RUBIN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenia Elizabeth Bardales
• Jameel Hisham Bardesi, M.D.
• Patricia Barditch-Crovo, M.D.
• Jazmine A Bardnby
• Celia Iris Bardoff, CRNP
• Afia Bardswell
• Jessica Lee Bare
• Taryn Barefoot
• Amir S Barekatain, DDS
• Alex Baren, PA-C

• Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.