NPIMap

Individual provider Active NPI

Inna Gendelsman, MD

  • Internal Medicine Physician
  • Lutherville, MD
National Provider Identifier
1912930108
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0051454 Issued in MD
Practice address
1205 York Rd
Suite # 38
Lutherville, MD 21093-6210
Phone
(410) 825-4979
Fax
(410) 296-3630
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0051454 MD Primary

Addresses

Primary practice location

1205 York Rd
Suite # 38
Lutherville, MD 21093-6210

Mailing address

PO Box 62026
Baltimore, MD 21264-2026

Other identifiers 3

IdentifierTypeStateIssuer
S190 / 0010OtherMDBLUE CHOICE
2457712OtherMDAETNA
KF68 / 548613-03OtherMDBC/BS OF MD

Other names 1

  • Inna Karpushova Former name

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
I20110131001002 MD Practitioner - Internal Medicine 0446439871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1734 York Rd
Lutherville, MD 21093-5606
Phone (410) 252-2273

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1205 York Rd
Ste 38
Lutherville, MD 21093
Phone (301) 327-0266

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

35 E Padonia Rd
Timonium, MD 21093
Phone (301) 683-3330

1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273

Interoperability endpoints

  • Direct secure messaging: igendelsmanmd6244@direct.mdmercy.com

Organizations & group practices 3

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 11

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1912930108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62026",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD",
            "address_2": "SUITE # 38",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936210",
            "telephone_number": "410-825-4979",
            "fax_number": "410-296-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDELSMAN",
        "first_name": "INNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0051454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "S190 / 0010",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2457712",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MD",
            "identifier": "KF68 / 548613-03",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INNA",
            "last_name": "KARPUSHOVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.