ELIAS CAMILLE GHANDOUR (M.D.) – Nephrology Physician, NPI 1306842059

ELIAS CAMILLE GHANDOUR (M.D.) is a healthcare provider. based in Baltimore, Maryland. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. D0035706 (MD). The NPI Number for ELIAS CAMILLE GHANDOUR (M.D.) is 1306842059

Main info

Male
41 Years Of Experience
Name
ELIAS CAMILLE GHANDOUR (M.D.)
NPI
1306842059
Phone
(443) 444-3775
Address
5601 LOCH RAVEN BLVD
Enumeration Date
27 June 2005
Last Update Date
19 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4434444714
Graduation Year
1985 (41 years ago)
PAC ID
2961419668
Group Practice PAC ID
8921903147
Professional Enrollment ID
I20080509000386
Address ID
MD212392945BA5601XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

345 NEPHROLOGY in MD

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Provider Addresses for ELIAS CAMILLE GHANDOUR (M.D.)

  • MedStar Good Samaritan Hospital, 5601, Loch Raven Boulevard, Woodbourne Heights, Baltimore, Maryland, 21239, United States

    STE 3 N

    BALTIMORE, MD 212392905

    Phone: (443) 444-3775

    Fax: (443) 444-4678

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080509000386INephrologyMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90960Dialysis services, 4 or more physician visits per month (20 years or older)37155$0
90970Dialysis services, per day, less than full month service (20 years or older)30966$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes299132$0
90935Hemodialysis procedure with physician evaluation20788$0
99215Established patient office or other outpatient visit, 40-54 minutes15892$0
View full utilization report →

Insurance plans in this area (ZIP 21239)

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Provider's Procedures

ELIAS CAMILLE GHANDOUR (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMD90935Hemodialysis procedure with one physician evaluation565189
NEPHROLOGYMD90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older6648

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921903147View full group profile
NameSpecialtyState
Internal MedicineMD
O T O L A R Y N G O L O G YTX
Clinical PsychologistMD
Physician AssistantMD
Physician AssistantMD
O P H T H A L M O L O G YMD
Pulmonary Disease, Internal MedicineMD
A N E S T H E S I O L O G YMD
-MD
Emergency Medicine, Internal MedicineMD

Reviews

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Frequently asked questions

What federal number belongs to ELIAS CAMILLE GHANDOUR (M.D.)?
The federal identifier for ELIAS CAMILLE GHANDOUR (M.D.) is NPI 1306842059.
Is ELIAS CAMILLE GHANDOUR (M.D.) active in the national directory?
ELIAS CAMILLE GHANDOUR (M.D.)'s public NPI profile is in an active state.
Does ELIAS CAMILLE GHANDOUR (M.D.) list a primary specialty?
If you are matching referrals, note Nephrology Physician for ELIAS CAMILLE GHANDOUR (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for ELIAS CAMILLE GHANDOUR (M.D.)?
We surface Baltimore, Maryland for ELIAS CAMILLE GHANDOUR (M.D.) based on available NPPES addresses.
How can I contact ELIAS CAMILLE GHANDOUR (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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