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LIFEBRIDGE COMMUNITY PHYSICIANS INC
NPI 1093205841
Orthopaedic Surgery - Sports Medicine in Owings Mills, MD

Active since May 17, 2018
10084 REISTERSTOWN RD, SUITE 300A, OWINGS MILLS, MD 21117(667) 219-6313(443) 815-4706 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Aug 27, 2021, May 17, 2018 (3 updates tracked since 2018).

About Lifebridge Community Physicians Inc NPPES

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

LIFEBRIDGE COMMUNITY PHYSICIANS INC (NPI 1093205841) is a healthcare organization registered as a sports medicine in Owings Mills, Maryland and active in the NPI registry since May 2018. The organization lists Mary R Wright-sisk, Director, as its authorized official.

NPPES Registry Identity

NPI1093205841
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameLIFEBRIDGE COMMUNITY PHYSICIANS INC
Location Address10084 REISTERSTOWN RD, SUITE 300AOwings Mills, MD 21117
Mailing Address10084 Reisterstown Rd, Suite 300aOwings Mills, MD 21117 · (667) 219-6313 · Fax (443) 815-4706
Phone(667) 219-6313
Fax(443) 815-4706
Organization SubpartNo
Authorized OfficialMary R Wright-siskDirector · (443) 422-9941
Enumeration DateMay 17, 2018
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1093205841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in MD · D0060491
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License D0060491 (MD)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License D0060491 (MD)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License D0060491 (MD)
10084 REISTERSTOWN RD, Owings Mills, MD 21117
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Other Names 1

Other NameLifebridge Health Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifebridge Community Physicians Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

316

Medicare enrollment records show 316 clinicians reassign Medicare billing to Lifebridge Community Physicians Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 116 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner88
Internal Medicine53
Diagnostic Radiology52
Critical Care (Intensivists)32
Family Practice25
Pediatric Medicine15
Cardiovascular Disease (Cardiology)12
Pulmonary Disease8
16 other specialties31

Nearest to this location (20)

See all 316
Nischal Nadig, DO
Orthopedic Surgery
NPI 1083067656
10084 REISTERSTOWN RD STE 300A
Owings Mills, MD 21117
(667) 219-6308
✔ PECOS✔ Accepts MedicareSame address
Jill Koeppen, NP
Nurse Practitioner
NPI 1427042027
10084 REISTERSTOWN RD STE 200A
Owings Mills, MD 21117
(410) 552-5050
✔ PECOS✔ Accepts MedicareSame address
Thomas Withuhn, M.D., M.S.
Internal Medicine
NPI 1821264425
10084 REISTERSTOWN RD STE 200A
Owings Mills, MD 21117
(410) 552-5050
✔ PECOS✔ Accepts MedicareSame address
Brian Cho, M.D.
Hand Surgery
NPI 1356769533
10084 REISTERSTOWN RD STE 300A
Owings Mills, MD 21117
(410) 601-2663
✔ PECOS✔ Accepts MedicareSame address
Erica Gaertner, M.D.
Internal Medicine
NPI 1124478755
10084 REISTERSTOWN RD STE 300A
Owings Mills, MD 21117
(410) 601-7529
✔ PECOS✔ Accepts MedicareSame address
Melissa Irvin Sahm, CRNP
Nurse Practitioner
NPI 1356978530
10084 REISTERSTOWN RD STE 200A
Owings Mills, MD 21117
(410) 552-5050
✔ PECOS✔ Accepts MedicareSame address
Mariah Muse, CRNP
Nurse Practitioner
NPI 1265027700
10084 REISTERSTOWN RD STE 200A
Owings Mills, MD 21117
(410) 552-5050
✔ PECOS✔ Accepts MedicareSame address
Bonnie Orzech Nixon, M.D.
Pediatric Medicine
NPI 1841268562
10084 REISTERSTOWN RD STE 200B
Owings Mills, MD 21117
(410) 526-7993
✔ PECOSSame address
Doris Neng, RN
Nurse Practitioner
NPI 1104123983
4730 ATRIUM CT
Owings Mills, MD 21117
(410) 363-0330
✔ PECOS✔ Accepts Medicare1.2 mi
Salih Grice, M.D.
Family Practice
NPI 1003296245
23 CROSSROADS DR STE 340
Owings Mills, MD 21117
(410) 653-0366
✔ PECOS✔ Accepts Medicare1.5 mi
Oludolapo Ilori
Family Practice
NPI 1043847007
23 CROSSROADS DR STE 340
Owings Mills, MD 21117
(410) 653-0366
✔ PECOS✔ Accepts Medicare1.5 mi
Camelle Redding, CRNP
Nurse Practitioner
NPI 1326335829
23 CROSSROADS DR STE 340
Owings Mills, MD 21117
(410) 653-0366
✔ PECOS✔ Accepts Medicare1.5 mi
Robert Kroopnick, M.D.
Internal Medicine
NPI 1013936327
1838 GREENE TREE RD STE 300
Pikesville, MD 21208
(410) 653-0366
✔ PECOS✔ Accepts Medicare2.5 mi
Ambereen Quraishi, MD
Cardiovascular Disease (Cardiology)
NPI 1629070842
1838 GREENE TREE RD SUITE 535
Baltimore, MD 21208
(410) 469-4000
✔ PECOS2.5 mi
Andrew Barnstein, M.D.
Cardiovascular Disease (Cardiology)
NPI 1316940794
1838 GREENE TREE RD STE 535
Baltimore, MD 21208
(410) 469-4000
✔ PECOS2.5 mi
Paresh Shah, M.D.
Cardiac Electrophysiology
NPI 1740274414
1838 GREENE TREE RD SUITE 535
Baltimore, MD 21208
(410) 469-4000
✔ PECOS✔ Accepts Medicare2.5 mi
Jeffrey Brauer, M.D.
Critical Care (Intensivists)
NPI 1306931027
1838 GREENE TREE RD 420
Baltimore, MD 21208
(410) 484-9595
✔ PECOS✔ Accepts Medicare2.5 mi
Peter Oroszlan, MD
Preventive Medicine
NPI 1386823904
1838 GREENE TREE RD STE 300
Pikesville, MD 21208
(410) 653-0366
✔ PECOS2.5 mi
Benjamin Schultz, M.D.
General Surgery
NPI 1689069692
1700 REISTERSTOWN RD STE 102
Pikesville, MD 21208
(410) 469-5555
✔ PECOS✔ Accepts Medicare3.1 mi
William Han, M.D.
Pulmonary Disease
NPI 1558325316
2700 QUARRY LAKE DR SUITE 220
Baltimore, MD 21209
(410) 601-9200
✔ PECOS✔ Accepts Medicare4.8 mi
See all 316 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lifebridge Community Physicians Inc's NPI number?

The NPI number for Lifebridge Community Physicians Inc is 1093205841. It was assigned to this organization in the NPPES registry on May 17, 2018. The provider is also known as LifeBridge Health Sports Medicine.

Where is Lifebridge Community Physicians Inc located?

Lifebridge Community Physicians Inc is located at 10084 Reisterstown Rd Suite 300A, Owings Mills, MD 21117. The listed phone number is (667) 219-6313.

What is Lifebridge Community Physicians Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Lifebridge Community Physicians Inc enrolled in Medicare?

Yes. Lifebridge Community Physicians Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifebridge Community Physicians Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 316 clinicians in 24 Medicare specialties reassign their Medicare billing to Lifebridge Community Physicians Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (88), Internal Medicine (53) and Diagnostic Radiology (52). Of these, 8 practice at this address and 116 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifebridge Community Physicians Inc was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.