Individual provider Active NPI

Yelena Lubman, M.D.

  • Obstetrics & Gynecology Physician
  • Pikesville, MD
National Provider Identifier
1871549907
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0064406 Issued in MD
Practice address
124 Slade Ave Ste 210
Pikesville, MD 21208-4991
Phone
(443) 901-2040
Fax
(443) 901-2043
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0064406 MD Primary

Addresses

Primary practice location

124 Slade Ave Ste 210
Pikesville, MD 21208-4991

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

23 Crossroads Drive
Ste 215
Owings Mill, MD 21117-5420
Phone (443) 901-2040

Other practice location 2

120 Sister Pierre Dr Ste 505
Towson, MD 21204-7527
Phone (443) 901-2040

Other identifiers 2

IdentifierTypeStateIssuer
010764600MedicaidMD
D0064406OtherMDMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yelena.lubman.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061018000203 MD Practitioner - Obstetrics/Gynecology 2567468382 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

100 W Rd
Suite 404
Towson, MD 21204-2368
Phone (410) 832-5511

5 Park Ctr CT
Suite 303
Owings Mills, MD 21117-4203
Phone (410) 356-2935

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064406MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology Current Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients
Capital Women's Care, L.L.C. Obstetrics & Gynecology CurrentSince Oct 1, 2019 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 17, 2016 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 17, 2016 Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

23 Crossroads Dr
Ste 215
Owings Mills, MD 21117
Phone (410) 363-9400

124 Slade Ave
Ste 210
Pikesville, MD 21208
Phone (410) 486-6540

120 Sister Pierre Dr
Ste 505
Towson, MD 21204
Phone (410) 494-8668

7505 Osler Dr
Ste 204
Towson, MD 21204
Phone (410) 427-5555

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: ylubman131432@direct.umm.edu
  • Direct secure messaging: yelena.lubman.d1.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1871549907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-576-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLADE AVE STE 210",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084991",
            "telephone_number": "443-901-2040",
            "fax_number": "443-901-2043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Crossroads Drive",
            "address_2": "STE 215",
            "address_purpose": "LOCATION",
            "city": "Owings Mill",
            "state": "MD",
            "postal_code": "211175420",
            "country_code": "US",
            "telephone_number": "443-901-2040",
            "fax_number": "443-901-2043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Sister Pierre Dr Ste 505",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047527",
            "country_code": "US",
            "telephone_number": "443-901-2040",
            "fax_number": "443-901-2043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBMAN",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0064406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010764600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0064406",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yelena.lubman.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "124 Slade Ave Ste 210",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212084991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.