Atiye Aktay, MD
Individual provider Active NPI Pediatric Gastroenterology Physician · Baltimore, MD
NPI 1972570646 · NPPES record last updated Jul 9, 2019
Key facts
- NPI
- 1972570646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Gastroenterology Physician 2080P0206X
- License
- D86713 (MD)
- Practice address
- 22 S Greene St # N5W40
Baltimore, MD 21201 - Phone
- (410) 328-7373
- Fax
- (410) 328-7305
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080109000003 | OH | Practitioner - Pediatric Medicine |
3870673452 | Reassigns benefits to 1 organization |
| I20190801000004 | MD | Practitioner - Gastroenterology |
3870673452 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35090720 | OH | MD | Gastroenterology Physician |
| 39262020 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Pediatric Assoc PA | Current |
Accepting new patients | |
| University Hospitals Medical Group Inc | Current |
Accepting new patients | |
| University of Maryland Pediatric Associates, PA | Current | Accepting new patients | |
| University of Maryland Pediatric Associates, PA | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
22 S Greene St
#N5W40
Baltimore, MD 21201
Phone (410) 328-6749
22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887
510 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (667) 214-2400
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1302 Bellona Ave
Lutherville Timonium, MD 21093
Phone (410) 825-6810
8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- naktay641599@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 39262020 | WI | |
| Pediatric Gastroenterology Physician | 2080P0206X | D86713 | MD | Yes |
| Gastroenterology Physician | 207RG0100X | 35090720 | OH |
Addresses
Primary practice location
22 S Greene St # N5W40
Baltimore, MD 21201
Mailing address
PO Box 62063
Baltimore, MD 21264-2063
Phone (410) 706-5181
Other practice location 1
11100 Euclid Avenue
Cleveland, OH 44106
Phone (216) 844-7700
Other practice location 2
11100 Euclid Avenue
Cleveland, OH 44106
Phone (216) 844-7700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421769 | Other | OH | WELLCARE |
| 5434452 | Other | OH | AETNA |
| 752760 | Other | OH | BUCKEYE |
| 000000230990 | Other | OH | UNISON |
| 1023728120001 | Medicaid | PA | |
| 32523600 | Medicaid | WI | |
| 000000550668 | Other | OH | ANTHEM |
| 2781566 | Medicaid | OH |
Other providers in Baltimore, MD
- Idara Akpandak
- Esen K Akpek
- Patience Akrofi
- Venkata Sandeep Akshintala
- Lee Michael Akst
- Recai Aktay
- Lateya Akuffo
- Jason Atticus Akulian
- Natalie A Akumiah
- Ifeyinwa Akwarandu
All providers in Baltimore, MD · Pediatric Gastroenterology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.