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Greater Baltimore Medical Center, INC.

Internal Medicine, Gastroenterology in Lutherville, MD. Organization (NPI-2).

NPI number1275355240
StatusActive
Last updated in NPPESJul 24, 2026

Details

NPI
1275355240
Entity type
Organization (NPI-2)
Legal business name
Greater Baltimore Medical Center, INC.
Organization subpart
No
Enumeration date
Oct 30, 2024
Certification date
Jul 24, 2026
Last updated
Jul 24, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes

Practice location

10803 Falls Rd Pavilion III
Ste 3100
Lutherville, MD 21093-4582

Phone 410-616-7650

Mailing address

6701 N Charles St
Baltimore, MD 21204-6808

Authorized official

Peter Carl Ostasewski
Cfo
7175311159

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Gastroenterology Physician providers in Lutherville, MD

All 17 Gastroenterology Physician providers in Lutherville · All 1,368 providers in Lutherville

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