Individual provider Active NPI

Valeria Fomitcheva, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1972165405
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0095072 Issued in MD
Practice address
6821 Reisterstown Rd Ste 106
Baltimore, MD 21215-1434
Phone
(410) 358-6450
NPI assigned
Jul 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 D0095072 MD Primary

Addresses

Primary practice location

6821 Reisterstown Rd Ste 106
Baltimore, MD 21215-1434

Mailing address

6821 Reisterstown Rd Ste 106
Baltimore, MD 21215-1434
Phone (410) 358-6450

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
I20240112000445 MD Practitioner - Internal Medicine 7315273018 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0095072MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saluja Medical Associates Internal Medicine CurrentSince Oct 8, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6821 Reisterstown Rd
Ste 106
Baltimore, MD 21215
Phone (410) 358-6450

Organizations & group practices 2

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": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1972165405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 REISTERSTOWN RD STE 106",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151434",
            "telephone_number": "410-358-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 REISTERSTOWN RD STE 106",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151434",
            "telephone_number": "410-358-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMITCHEVA",
        "first_name": "VALERIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0095072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.