Individual provider Active NPI

Edward Gerard Lakatta, M.D.

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1992862924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
935355 Issued in MD
Practice address
5600 Nathan Shock Dr
Baltimore, MD 21224-6825
Phone
(410) 558-8202
Fax
(410) 558-8150
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 935355 MD Primary

Addresses

Primary practice location

5600 Nathan Shock Dr
Baltimore, MD 21224-6825

Mailing address

126 Briarcliff LN
Bel Air, MD 21014-5553
Phone (410) 879-8782

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
935355MDMDCardiovascular Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992862924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BRIARCLIFF LN",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145553",
            "telephone_number": "410-879-8782",
            "fax_number": "410-558-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 NATHAN SHOCK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246825",
            "telephone_number": "410-558-8202",
            "fax_number": "410-558-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKATTA",
        "first_name": "EDWARD",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "935355",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.