Individual provider Active NPI

Kaleem U Haque, M.D.

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1962409375
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0050282 Issued in MD
Practice address
5601 Loch Raven Blvd
Ste 3
Baltimore, MD 21239-2905
Phone
(443) 444-3775
Fax
(443) 444-4678
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0050282 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Ste 3
Baltimore, MD 21239-2905

Mailing address

5601 Loch Raven Blvd
Ste 3
Baltimore, MD 21239-2905
Phone (443) 444-3775

Other identifiers 2

IdentifierTypeStateIssuer
54744803OtherMDBLUE SHIELD
571210600MedicaidMD

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
I20050826000371 MD Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Interventional Cardiology 8820029150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Center of Maryland, PAGroup PAC ID 1153395306, 16 clinicians

Practice addresses (Care Compare)

2309 Bel Air Rd C
Fallston, MD 21047-2752
Phone (443) 981-3130

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-3775

5601 Loch Raven Blvd
3 North
Baltimore, MD 21239-2945

Hospital & facility affiliations

  • DaVita Aberdeen Dialysis Dialysis facility, Aberdeen, MD, CCN 212650
  • DaVita Good Samaritan Dialysis Dialysis facility, Baltimore, MD, CCN 212722
  • DaVita Harford Road Dialysis Center Dialysis facility, Baltimore, MD, CCN 212605
  • FMC of Porter Dialysis - White Marsh Dialysis facility, Nottingham, MD, CCN 212568
  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050282MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Nephrology CurrentSince Jul 1, 2005 Accepting new patients
Johns Hopkins University Current Accepting new patients
Nephrology Center of Maryland, PA Nephrology CurrentSince May 1, 2003 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2005 Accepting new patients
Ochsner Mississippi, LLC PastSince Oct 17, 2021 Accepting new patients
Kidney Disease & Hypertension Centers, PA Nephrology PastSince Dec 5, 1996 Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5601 Loch Raven Blvd
#3N
Baltimore, MD 21239
Phone (410) 532-3775

2309 Bel Air Rd
Ste C
Fallston, MD 21047

5601 Loch Raven Blvd
Fl 3
Northwood, MD 21239
Phone (410) 532-3775

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kaleem.haque.1@7494.direct.athenahealth.com
  • Direct secure messaging: khaque59289@direct.hopkinsmedicine.org

Organizations & group practices 6

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 8

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1962409375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "STE 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "443-444-3775",
            "fax_number": "443-444-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "STE 3",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "443-444-3775",
            "fax_number": "443-444-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "KALEEM",
        "middle_name": "U",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0050282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "54744803",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571210600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.