Unknown Individual – Nephrology Physician, NPI 1972501427
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,245 INTERNAL MEDICINE in MD
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Provider Addresses for Unknown Individual
1589, Sulphur Spring Road, Halethorpe, Arbutus, Baltimore County, Maryland, 21227, United States
SUITE 109
BALTIMORE, MD 212272542
Phone: (410) 536-5400
Fax: (410) 737-2168
Type: Mailing
516, North Rolling Road, Oak Crest, Catonsville, Baltimore County, Maryland, 21228, United States
SUITE 304
CATONSVILLE, MD 212284140
Phone: (410) 744-0890
Fax: (410) 744-2007
Type: Location
1589 SULPHUR SPRING RD STE 109
BALTIMORE, MD 212272542
Phone: (410) 536-5400
Fax: (410) 737-2168
Type: Mailing
516 N ROLLING RD STE 304
CATONSVILLE, MD 212284133
Phone: (410) 744-0890
Fax: (410) 744-2007
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $9.
Total Amount is formed as General ($9) + Research ($0) + Ownership ($0) = $9.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($9).
Total Amount
$9
General + Research + Ownership
Payments
3
Total payment records
General Amount
$9
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $9 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100114000464 | I | Nephrology | MD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 381 | 158 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 303 | 106 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 292 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 234 | 144 | $0 |
| 90966 | Home dialysis services per month (20 years or older) | 121 | 17 | $0 |
Insurance plans in this area (ZIP 21227)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| N E P H R O L O G Y | MD | |
| Internal Medicine, Nephrology | MD | |
| - | MD | |
| - | MD | |
| Nurse Practitioner | MD | |
| N E P H R O L O G Y | MD | |
| Nephrology, Internal Medicine | DC | |
| Nephrology, Internal Medicine | MD | |
| Internal Medicine, Nephrology | MD |
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