Individual provider Active NPI

Ralph E Updike, MD

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1952384992
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D10941 Issued in MD
Practice address
4660 Wilkens Ave
Ste 301
Baltimore, MD 21229-4845
Phone
(410) 646-4404
Fax
(410) 525-1166
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D10941 MD Primary

Addresses

Primary practice location

4660 Wilkens Ave
Ste 301
Baltimore, MD 21229-4845

Mailing address

4660 Wilkens Ave
Ste 301
Baltimore, MD 21229-4845
Phone (410) 646-4404

Other identifiers 1

IdentifierTypeStateIssuer
023571700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D10941MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard County Gastrointestinal Diagnostic Ctr, LLC PastSince Nov 14, 2007 Accepting new patients
Digestive Disease Associates, P.a. Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://45fa7a05-41b0-42e2-8589-b26385cda68f.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1952384992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE",
            "address_2": "STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294845",
            "telephone_number": "410-646-4404",
            "fax_number": "410-525-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE",
            "address_2": "STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294845",
            "telephone_number": "410-646-4404",
            "fax_number": "410-525-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDIKE",
        "first_name": "RALPH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D10941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023571700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.