Individual provider Active NPI

Frank Javier Tanon, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
National Provider Identifier
1902028939
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0065957 Issued in MD
Practice address
2411 W Belvedere Ave
Suite 104
Baltimore, MD 21215-5228
Phone
(410) 601-8691
Fax
(410) 601-8996
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X D0065957 MD
Physical Medicine & Rehabilitation Physician 208100000X D0065957 MD Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X D0065957 MD

Addresses

Primary practice location

2411 W Belvedere Ave
Suite 104
Baltimore, MD 21215-5228

Mailing address

2401 W Belvedere Ave
Credentialing Dept.
Baltimore, MD 21215-5216
Phone (410) 601-5524

Other identifiers 1

IdentifierTypeStateIssuer
013689100MedicaidMD

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
I20080204000335 MD Practitioner - Physical Medicine and Rehabilitation 1658453345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ponce School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2401 W Belvedere Ave
Baltimore, MD 21215-5271

2411 W Belvedere Ave
Rehab Medicine Associates
Baltimore, MD 21215-5271
Phone (410) 601-8691

2435 W Belvedere Ave
Baltimore, MD 21215-5224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.94 of 100Reported as individual
Quality
20
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065957MDMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2007 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jul 1, 2007 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2411 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-5700

2411 W Belvedere Ave
Ste 104
Baltimore, MD 21215
Phone (410) 601-8691

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1902028939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "CREDENTIALING DEPT.",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5524",
            "fax_number": "410-601-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE",
            "address_2": "SUITE 104",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155228",
            "telephone_number": "410-601-8691",
            "fax_number": "410-601-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANON",
        "first_name": "FRANK",
        "middle_name": "JAVIER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MD",
            "license": "D0065957",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0065957",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "D0065957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013689100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.