Calvert Nephrology Group, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D0063540 Issued in MD

Legal business name

CALVERT NEPHROLOGY GROUP, LLC

Practice address

3333 N Calvert St
Ste. 585
Baltimore, MD 21218-2867

Phone

(410) 261-8532

Fax

(410) 261-8055

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Marie Lincoln, CPC

Title

Office Manager/Billing Admin.

Phone

(410) 261-8531

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monika Dhillon, MD

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1487632600
  Medicare reassignment NPD

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1831488063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "STE. 585",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-261-8532",
            "fax_number": "410-261-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "STE. 585",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-261-8532",
            "fax_number": "410-261-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVERT NEPHROLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING ADMIN.",
        "authorized_official_telephone_number": "410-261-8531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0063540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019875700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calm Reflections
• Christine Ann Calmes, PH.D.
• Joseph Myers Calpin, MD, MS
• Sharon T Calvano, LCSWC
• Michael Calveric, PHARMD
• Sheila Lanell Calvert, RN
• Annlise Calypso, CRNP
• Marilyn Camacho, LGPC
• Jillian Marie Camara
• Joan Cambias, RPH

• Nephrology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.