Babak Imanoel, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H53939 Issued in MD

Practice address

218 Washington Heights Med Ctr
Westminster, MD 21157-5633

Phone

(410) 751-5830

Fax

(410) 751-7450

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN, GA2 enrollments

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 2

Specialty

Internal MedicineAlso: Addiction Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erx Group LLCGroup PAC ID 9335037571, 16 clinicians

Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Jackson Medical Center Hospital, Jackson, MN, CCN 241315
• Dorminy Medical Center Hospital, Fitzgerald, GA, CCN 110073
• Sanford Jackson Medical Center Nursing home, CCN 24Z315

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Erx Group, LLC

  • Emergency Medicine Physician
  • Alma, GA
  • NPI 1760823082
  Medicare reassignment Care Compare group
• Fort Oglethorpe Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Blue Ridge, GA
  • NPI 1174024376
  Medicare reassignment NPD
• Sanford Health Network

  • Critical Access Hospital
  • Jackson, MN
  • NPI 1326069097
  Medicare reassignment NPD
• Sanford Health Network

  • Family Medicine Physician
  • Tracy, MN
  • NPI 1699869875

  Emergency Medicine

  Medicare reassignment NPD
• Northern Parkway Treatment Services

  • Methadone Clinic
  • Baltimore, MD
  • NPI 1447665641
  NPD Authorized official
• Imanoel Enterprise, Inc

  • Internal Medicine Physician
  • Westminster, MD
  • NPI 1407045743
  NPD (past) Authorized official
• Divine Mercy, Inc.

  • Methadone Clinic
  • Baltimore, MD
  • NPI 1396450508
  NPD
• Lake Region Healthcare Corporation

  • General Acute Care Hospital
  • Fergus Falls, MN
  • NPI 1093713372
  NPD
• Lake Region Healthcare Corporation

  • Chiropractor
  • Fergus Falls, MN
  • NPI 1265148480
  NPD
• Sanford Health Network

  • Rural Health Clinic/Center
  • Jackson, MN
  • NPI 1083638357
  NPD
• Sanford Health Network

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• Divine Mercy, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1104434158
  NPD (past)

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

• Sanford Health Network

  • Critical Access Hospital
  • Jackson, MN
  • NPI 1326069097
  Care Compare affiliation
• Sanford Health Network

  • Critical Access Hospital
  • Jackson, MN
  • NPI 1811901531

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1871546358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 FIELD RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212081003",
            "telephone_number": "410-751-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 WASHINGTON HEIGHTS MED CTR",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575633",
            "telephone_number": "410-751-5830",
            "fax_number": "410-751-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMANOEL",
        "first_name": "BABAK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H53939",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "42908",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "42908",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "3306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610077500",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "955801200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Stephen Ignatowski, M.D.
• Olumide Silas Ilesanmi
• Illuminated Insights Counseling LLC
• Farah Ilyas, D.D.S.
• Imanoel Enterprise, Inc
• Erin Elizabeth Imbraguglio, DPT
• Gary R. Imm, D.D.S.
• In Motion Physical Therapy, LLC
• Mary Brooks Ingram, RN, LAC
• Mary Elizabeth Ingson, MS CCC-SLP

• Internal Medicine Physician in Westminster, MD
• Providers in Westminster, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.