Individual provider Active NPI

Bansari Sachin Gujar, MD

  • Rheumatology Physician
  • Baltimore, MD
National Provider Identifier
1922021708
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D68523 Issued in MD
Practice address
1220B E Joppa Rd
Baltimore, MD 21286-5813
Phone
(410) 494-1888
Fax
(410) 494-1008
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301080045 MI
Rheumatology Physician 207RR0500X D68523 MD Primary

Addresses

Primary practice location

1220B E Joppa Rd
Baltimore, MD 21286-5813

Mailing address

1220B E Joppa Rd
Baltimore, MD 21286-5813
Phone (410) 494-1888

Other identifiers 2

IdentifierTypeStateIssuer
335733300MedicaidMD
S062-0521OtherMDCAREFIRST BC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bansari.gujar@direct.rab.nextgenshare.com

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
I20130912000026 MD Practitioner - Rheumatology 4981601549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Associates of Baltimore LLCGroup PAC ID 7911959861, 8 clinicians

Practice addresses (Care Compare)

1220 B E Joppa Rd
Suite 310
Baltimore, MD 21286-5812
Phone (410) 494-1888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080045MIMDInternal Medicine Physician
D68523MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. CurrentSince Jul 1, 2013 Accepting new patients
University of Maryland Physicians PA Rheumatology CurrentSince Jul 1, 2013 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Rheumatology Associates of Baltimore LLC Rheumatology CurrentSince Sep 15, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

1220B E Joppa Rd
Ste 324
Towson, MD 21286
Phone (410) 494-1888

1220B E Joppa Rd
Ste 310
Towson, MD 21286
Phone (410) 494-1888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1922021708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865813",
            "telephone_number": "410-494-1888",
            "fax_number": "410-494-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220B E JOPPA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865813",
            "telephone_number": "410-494-1888",
            "fax_number": "410-494-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJAR",
        "first_name": "BANSARI",
        "middle_name": "SACHIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080045",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D68523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335733300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "S062-0521",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bansari.gujar@direct.rab.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1220B E Joppa Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212865813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.