SINAI HOSPITAL OF BALTIMORE INC (NPI# 1043235666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043235666 |
| Entity Type | Organization |
| Organization Name | SINAI HOSPITAL OF BALTIMORE INC |
| Other Organization Name | SINAI ICU ASSOCIATES |
| Practice Address |
2435 W Belvedere Ave Suite 42 Baltimore MD 21215-5224 |
| Mailing Address |
2401 W Belvedere Ave Attn: Credentialing Baltimore MD 21215-5216 |
| Practice Telephone | 4106016025 |
| Practice Fax Number | 4106015835 |
| Mailing Telephone | 4106015524 |
| Mailing Fax Number | 4106018946 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MRS. BARBARA J EPKE (VICE PRESIDENT) |
| Authorized Official Telephone | 4106015131 |
| Is Organization Subpart | Y |
| Parent Organization Name | SINAI HOSPITAL OF BALTIMORE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
30-062 | MD | Allopathic & Osteopathic Physicians |
| N | 282N00000X | General Acute Care Hospital | 30-062 | MD | Hospitals |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
30-062 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | R/R MEDICARE GROUP # | CC3778 | 01 |
| MD | R/R MEDICARE GROUP # | CC1923 | 01 |
| MD | R/R MEDICARE GROUP # | C31152 | 01 |
| Other Name | Type Code |
|---|---|
| Sinai ICU Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819089 | Sinai Hospital of Baltimore Inc | Pediatrics | 2700 Quarry Lake Dr Ste 270, Baltimore, MD 21209-3744 | 2020-10-21 |
| 1619992237 | Sinai Hospital of Baltimore Inc | General Acute Care Hospital | 5101 Lanier Ave, Baltimore, MD 21215-5321 | 2006-07-13 |
| 1376568998 | Sinai Hospital of Baltimore Inc | General Acute Care Hospital | 2411 W Belvedere Avenue, Suite 104, Morton Mower, M.d., Mob, Baltimore, MD 21215 | 2006-07-13 |
| 1437174059 | Sinai Hospital of Baltimore Inc | General Acute Care Hospital | Morton Mower, M.d. Off. Bldg., 2411 W. Belvedere Avenue, 6th Floor, Baltimore, MD 21215 | 2006-07-13 |
| 1427073048 | Sinai Hospital of Baltimore Inc | General Acute Care Hospital | 2411 W Belvedere Avenue, Suite 206, Morton Mower, M.d., Mob, Baltimore, MD 21215 | 2006-07-13 |
| 1992720528 | Sinai Hospital of Baltimore Inc | General Acute Care Hospital | 2411 W. Belvedere Avenue, Suite 407, Morton Mower, M.d., Mob, Baltimore, MD 21215 | 2006-07-13 |
| 1760007041 | Sinai Hospital of Baltimore Inc | Internal Medicine | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-06-11 |
| 1144872094 | Sinai Hospital of Baltimore Inc | Clinic/Center | 8114 Harford Rd, Baltimore, MD 21234-5796 | 2019-07-11 |
| 1598040073 | Sinai Hospital of Baltimore Inc | Pharmacy | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2011-10-17 |
| 1154623791 | Sinai Hospital of Baltimore Inc | Special Hospital | 2401 W Belvedere Avenue, Baltimore, MD 21215 | 2010-12-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SINAI HOSPITAL OF BALTIMORE INC | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 |
| Street Address |
2435 W BELVEDERE AVE SUITE 42 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
| 1295263895 | Rasha Shahin | Internal Medicine | 2435 W Belvedere Ave, Baltimore, MD 21215-5224 | 2017-05-25 |
| 1710410501 | Matthew Goldfarb | Student in an Organized Health Care Education/Training Program | 2435 W Belvedere Ave, Hoffberger Building Suite 42, Baltimore, MD 21215 | 2017-04-07 |
| 1902345317 | Therese D'ambrosio | Physician Assistant | 2435 W Belvedere Ave, Hoffberger Suite 42, Baltimore, MD 21215-5224 | 2017-02-17 |
| 1912391004 | Natalia Feigin | Nurse Practitioner | 2435 W Belvedere Ave, Suite/21, Baltimore, MD 21215-5224 | 2015-03-26 |
| 1912348889 | Kornelija Colovic | Internal Medicine | 2435 W Belvedere Ave, Baltimore, MD 21215-5224 | 2013-07-08 |
| 1508108879 | Sinai Hospital of Baltimore, Inc | Psychiatry & Neurology | 2435 W Belvedere Ave, Suite 32, Baltimore, MD 21215-5224 | 2013-03-25 |
| 1144561044 | Xueying Xu | Physician Assistant | 2435 W Belvedere Ave, Suite 22, Baltimore, MD 21215-5224 | 2013-03-04 |
| 1033457569 | Lynetris Y Williams | Nurse Practitioner | 2435 W Belvedere Ave, Suite 22, Baltimore, MD 21215-5224 | 2013-01-17 |
| 1629362504 | Eyoatam Abebe | Physician Assistant | 2435 W Belvedere Ave, Suite 56, Baltimore, MD 21215-5224 | 2011-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275789430 | Khanjan H Nagarsheth | Surgery | 419 W Redwood St Ste 240, Baltimore, MD 21201-7004 | 2008-08-07 |
| 1255597100 | John Robert Klune | Surgery | 22 South Greene St, Shock Trauma Center, Baltimore, MD 21401 | 2008-07-31 |
| 1952564395 | Jason Anthony Brocker | Surgery | 4940 Eastern Ave Bldg 5th, Baltimore, MD 21224-2735 | 2008-07-07 |
| 1235649526 | Johns Hopkins University | Surgery | 1800 Orleans St, Baltimore, MD 21287-0010 | 2017-10-02 |
| 1730509837 | Robert Anthony Laskowski II | Surgery | 22 S Greene St # T1r53, Baltimore, MD 21201-1544 | 2014-04-16 |
| 1164846077 | Rachel Leah Choron | Surgery | 600 N Wolfe Street, Zayed Suite 6107, Baltimore, MD 21287-0005 | 2014-02-12 |
| 1770926131 | Katherine Marie Kelley | Surgery | 22 S Greene St, Baltimore, MD 21201 | 2013-04-16 |
| 1396004719 | Meredith Elaine Sommerville | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-05-04 |
| 1831488162 | Farheen Afshan Qurashi | Surgery | 2435 W Belvedere Ave Ste 42, Baltimore, MD 21215-5224 | 2011-04-07 |
| 1740456201 | Jacques Mather | Surgery | 22 S Greene St, P1g01, Baltimore, MD 21201-1544 | 2008-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.