NORTHWEST CHF PROGRAM
NPI 1104924703
Internal Medicine in Randallstown, MD

Active since September 20, 2006CLIA Certified · 2 labs
5401 OLD COURT RD, RANDALLSTOWN, MD 21133(410) 521-2200 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2021, Jun 23, 2017 (2 updates tracked since 2017).

About Northwest Chf Program NPPES

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

NORTHWEST CHF PROGRAM (NPI 1104924703) is a healthcare organization registered as an internal medicine in Randallstown, Maryland and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists David Mccormick, Avp, as its authorized official.

NPPES Registry Identity

NPI1104924703
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHWEST HOSPITAL CENTER, INC.
Location Address5401 OLD COURT RDRandallstown, MD 21133-5103
Mailing Address5401 Old Court Rd, Attn: CredentialingRandallstown, MD 21133-5103 · (410) 601-5524 · Fax (410) 601-8946
Organization SubpartYes
Authorized OfficialDavid MccormickAvp · (410) 701-4618
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
NPI 1104924703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · 03-004
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5401 OLD COURT RD, Randallstown, MD 21133

Other Names 1

Doing Business AsNorthwest Chf Program

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

CLIA Laboratory Certificates CMS CLIA 2

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 of Accreditation 21D0215764

Northwest Hospital Center · Randallstown, MD
Active · expires Jan 2, 2027
CLIA Number21D0215764
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Srividya Sathiyamoorthy
Laboratory Phone(410) 521-5910
Laboratory LocationNorthwest Hospital Center5401 Old Court Rd - Pathology Dept 1st Floor Attention Eric Schmith, Randallstown, MD 21133
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 21D0682636

Northwest Hospital Center · Randallstown, MD
Active · expires Aug 31, 2026
CLIA Number21D0682636
Laboratory TypeHospital
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Srividya Sathiyamoorthy
Laboratory Phone(410) 521-5910
Laboratory LocationNorthwest Hospital Center5401 Old Court Road, Randallstown, MD 21133
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Specialist
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Nurse Anesthetist, Certified Registered
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Physician Assistant
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Internal Medicine
5401 OLD COURT RD
RANDALLSTOWN, MD 21133
Anesthesiology
5401 OLD COURT RD
RANDALLSTOWN, MD 21133

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 Northwest Hospital Center, Inc.'s NPI number?

The NPI number for Northwest Hospital Center, Inc. is 1104924703. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Northwest Chf Program.

Where is Northwest Hospital Center, Inc. located?

Northwest Hospital Center, Inc. is located at 5401 Old Court Rd, Randallstown, MD 21133. The listed phone number is (410) 521-2200.

What is Northwest Hospital Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Northwest Hospital Center, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Northwest Hospital Center, Inc. was last updated on October 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.