MID-ATLANTIC NEPHROLOGY ASSOCIATES PA
NPI 1083463962
Internal Medicine - Nephrology in Owings Mills, MD

Active since May 14, 2024CLIA 21D0694998 · Microscopy
25 CROSSROADS DR STE 205, OWINGS MILLS, MD 21117(410) 602-7792(410) 602-9889 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mid-atlantic Nephrology Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-ATLANTIC NEPHROLOGY ASSOCIATES PA (NPI 1083463962) is a healthcare organization registered as a nephrology in Owings Mills, Maryland and active in the NPI registry since May 2024. The organization holds a CLIA Microscopy certificate valid through September 2, 2026 and lists Robert Fuld, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1083463962
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMID-ATLANTIC NEPHROLOGY ASSOCIATES PA
Location Address25 CROSSROADS DR STE 205Owings Mills, MD 21117-5533
Mailing Address1589 Sulphur Spring Rd Ste 109Baltimore, MD 21227-2542 · (410) 536-5400 · Fax (410) 737-2168
Fax(410) 602-9889
Organization SubpartNo
Authorized OfficialRobert FuldPresident/ceo · (410) 536-5400
Enumeration DateMay 14, 2024
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
NPI 1083463962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

25 CROSSROADS DR STE 205, Owings Mills, MD 21117

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0694998

Mid Atlantic Nephrology Assoc PA · Owings Mills, MD
Active · expires Sep 2, 2026
CLIA Number21D0694998
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorEric M. Brown
Laboratory Phone(410) 602-7792
Laboratory LocationMid Atlantic Nephrology Assoc PA25 Crossroads Drive Suite 205, Owings Mills, MD 21117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
25 CROSSROADS DR STE 205
OWINGS MILLS, MD 21117
Internal Medicine (Nephrology)
25 CROSSROADS DR STE 205
OWINGS MILLS, MD 21117
Nurse Practitioner (Acute Care)
25 CROSSROADS DR STE 205
OWINGS MILLS, MD 21117
Internal Medicine (Nephrology)
25 CROSSROADS DR STE 205
OWINGS MILLS, MD 21117
Internal Medicine (Nephrology)
25 CROSSROADS DR STE 205
OWINGS MILLS, MD 21117
Internal Medicine (Nephrology)
25 CROSSROADS DR STE 205
OWINGS MILLS, MD 21117
Internal Medicine (Nephrology)
25 CROSSROADS DR STE 205
OWINGS MILLS, MD 21117
Internal Medicine (Nephrology)
25 CROSSROADS DR STE 205
OWINGS MILLS, MD 21117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Atlantic Nephrology Associates PA's NPI number?

The NPI number for Mid-Atlantic Nephrology Associates PA is 1083463962. It was assigned to this organization in the NPPES registry on May 14, 2024.

Where is Mid-Atlantic Nephrology Associates PA located?

Mid-Atlantic Nephrology Associates PA is located at 25 Crossroads Dr Ste 205, Owings Mills, MD 21117. The listed phone number is (410) 602-7792.

What is Mid-Atlantic Nephrology Associates PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Mid-Atlantic Nephrology Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0694998) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid-Atlantic Nephrology Associates PA was last updated on February 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.