NPIMap

Individual provider Active NPI

Zachary Nayak

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1861782187
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D7984 Issued in MD
Practice address
2360 W Joppa Rd Ste 210
Lutherville, MD 21093-4664
Phone
(410) 583-2890
NPI assigned
Apr 8, 2011
Last updated
May 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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 D0079487 MD
Internal Medicine Physician 207R00000X D7984 MD Primary

Addresses

Primary practice location

2360 W Joppa Rd Ste 210
Lutherville, MD 21093-4664

Mailing address

201 N Belnord Ave
Baltimore, MD 21224-1202
Phone (309) 533-3602

Other identifiers 1

IdentifierTypeStateIssuer
100558800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222000462 MD Practitioner - Pediatric Medicine 1850541160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Johns Hopkins University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Spring Internal Medicine LLCGroup PAC ID 1951305812, 3 clinicians

Practice addresses (Care Compare)

2360 W Joppa Rd
Suite 210
Lutherville, MD 21093-4664
Phone (410) 583-2890

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079487MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Inc. CurrentSince Dec 21, 2015 Accepting new patients
Green Spring Internal Medicine, LLC Internal Medicine CurrentSince May 11, 2023 Accepting new patients
Total Health Care Inc CurrentSince Dec 21, 2015 Accepting new patients
Total Health Care Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

2360 W Joppa Rd
Ste 210
Timonium, MD 21093
Phone (410) 583-2890

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGJBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGJBAA/Endpoint/DGJBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD
  • Direct secure messaging: zachary.nayak@greenspringmed.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1861782187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BELNORD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241202",
            "telephone_number": "309-533-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 W JOPPA RD STE 210",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934664",
            "telephone_number": "410-583-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0079487",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D7984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100558800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.