Stephen Krystjan Ronson, M.D.
Individual provider Active NPI Specialist · Baltimore, MD
NPI 1861604589 · NPPES record last updated May 3, 2010
Key facts
- NPI
- 1861604589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- D0067791 (MD)
- Practice address
- 9105 Franklin Square Dr
Suite 100
Baltimore, MD 21237-3930 - Phone
- (410) 682-6800
- Fax
- (410) 682-2783
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- University of Maryland School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Radiation Oncology Affiliates of Maryland
Medstar Medical Group II LLC
Practice addresses (Care Compare)
7501 Osler Dr
Suite G04
Towson, MD 21204-7745
Phone (410) 427-2525
9105 Franklin Square Dr
Rosedale, MD 21237-3930
Phone (410) 574-1330
Hospital & facility affiliations
- Medstar Health Home Care
- Medstar Franklin Square Medical Center
- Medstar Good Samaritan Hospital
- University of MD St Joseph Medical Center
- University of Maryland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.48 of 100
- Quality
- 88.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090804000126 | MD | Practitioner - Radiation Oncology | 6204989544 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0067791 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore, Inc | Current |
Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Radiation Oncology Affiliates of Maryland | Specialist | Current |
Accepting new patients |
| St Paul Place Specialists Inc | Current |
Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
5601 Loch Raven Blvd
Ste G4
Baltimore, MD 21239
301 Saint Paul St
Fl 1
Baltimore, MD 21202
Phone (410) 332-9610
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
3400 N Calvert St
Baltimore, MD 21218
Phone (410) 554-4400
2401 W Belvedere Ave
Baltimore, MD 21215
12 Medstar Blvd
Ste 180
Bel Air, MD 21015
Phone (410) 515-6400
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
9105 Franklin Square Dr
Ste 209
Rosedale, MD 21237
Phone (410) 574-1330
9105 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 574-1330
9105 Franklin Square Dr
Ste 100
Rosedale, MD 21237
Phone (410) 682-6800
7501 Osler Dr
Ste G04
Towson, MD 21204
Phone (410) 427-2525
Interoperability endpoints
- sronson135390@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0067791 | MD | Yes |
Addresses
Primary practice location
9105 Franklin Square Dr
Suite 100
Baltimore, MD 21237-3930
Mailing address
9105 Franklin Square Dr
Suite 100
Baltimore, MD 21237-3930
Phone (410) 682-6800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861604589 | Other | MD | NPI |
| 416972700 | Medicaid | MD |
NPI Registry JSON
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1861604589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 FRANKLIN SQUARE DR",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373930",
"telephone_number": "410-682-6800",
"fax_number": "410-682-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 FRANKLIN SQUARE DR",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373930",
"telephone_number": "410-682-6800",
"fax_number": "410-682-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONSON",
"first_name": "STEPHEN",
"middle_name": "KRYSTJAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0067791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1861604589",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "416972700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.