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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
10803 Falls Rd Pavilion IIISte 3100
Lutherville, MD 21093-4582
Phone 410-616-7650
Mailing address
6701 N Charles StBaltimore, MD 21204-6808
Authorized official
Peter Carl Ostasewski
Cfo
7175311159
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