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UPPER CROSSROADS MEDICAL GROUP
NPI 1104290261
General Practice in Fallston, MD

Active since November 30, 2015
2412 BALDWIN MILL RD, FALLSTON, MD 21047(410) 557-9191(410) 557-9191 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Upper Crossroads Medical Group NPPES

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

UPPER CROSSROADS MEDICAL GROUP (NPI 1104290261) is a healthcare organization registered as a general practice in Fallston, Maryland and active in the NPI registry since November 2015. The organization lists Salvacion Garin Lazatin, Physician/partner, as its authorized official.

NPPES Registry Identity

NPI1104290261
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameUPPER CROSSROADS MEDICAL GROUP
Location Address2412 BALDWIN MILL RDFallston, MD 21047
Mailing Address2412 Baldwin Mill RdFallston, MD 21047 · (410) 557-9191 · Fax (410) 557-9191
Phone(410) 557-9191
Fax(410) 557-9191
Organization SubpartNo
Authorized OfficialSalvacion Garin LazatinPhysician/partner · (410) 557-9191
Enumeration DateNovember 30, 2015
✔ NPI 1104290261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2412 BALDWIN MILL RD, Fallston, MD 21047
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upper Crossroads Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Upper Crossroads Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Salvacion Lazatin, MD
General Practice
NPI 1740329283
2412 BALDWIN MILL RD
Fallston, MD 21047
(410) 557-9191
✔ PECOSSame address

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 Upper Crossroads Medical Group's NPI number?

The NPI number for Upper Crossroads Medical Group is 1104290261. It was assigned to this organization in the NPPES registry on November 30, 2015.

Where is Upper Crossroads Medical Group located?

Upper Crossroads Medical Group is located at 2412 Baldwin Mill Rd, Fallston, MD 21047. The listed phone number is (410) 557-9191.

What is Upper Crossroads Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Upper Crossroads Medical Group enrolled in Medicare?

Yes. Upper Crossroads Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upper Crossroads Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Upper Crossroads Medical Group. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Upper Crossroads Medical Group was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.