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LIFEBRIDGE MEDICAL ASSOCIATES, LLC
NPI 1124433628
Internal Medicine in Ellicott City, MD

Active since June 24, 2014
4801 DORSEY HALL DR STE 201, ELLICOTT CITY, MD 21042(410) 997-5191(410) 997-7957 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Nov 20, 2025 (2 updates tracked since 2025).

About Lifebridge Medical Associates, Llc NPPES

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

LIFEBRIDGE MEDICAL ASSOCIATES, LLC (NPI 1124433628), doing business as Crossroads Medical Group, is a healthcare organization registered as an internal medicine in Ellicott City, Maryland and active in the NPI registry since June 2014. The organization lists Joel Suldan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1124433628
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFEBRIDGE MEDICAL ASSOCIATES, LLC
Location Address4801 DORSEY HALL DR STE 201Ellicott City, MD 21042-7749
Mailing Address4801 Dorsey Hall Dr Ste 201Ellicott City, MD 21042-7749 · (410) 997-5191 · Fax (410) 997-7957
Phone(410) 997-5191
Fax(410) 997-7957
Organization SubpartNo
Authorized OfficialJoel SuldanVice President · (410) 601-5129
Enumeration DateJune 24, 2014
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1124433628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
4801 DORSEY HALL DR STE 201, Ellicott City, MD 21042
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Other Names 1

Doing Business AsCrossroads Medical Group

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)

Lifebridge Medical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Lifebridge Medical Associates, LLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 16 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Internal Medicine9
Nurse Practitioner7
Family Practice3
Physical Therapist in Private Practice1

Clinicians, nearest first (20)

Marie-Alberte Boursiquot, M.D
Internal Medicine
NPI 1578571618
4801 DORSEY HALL DR STE 201
Ellicott City, MD 21042
(410) 997-7660
✔ PECOS✔ Accepts MedicareSame address
Sekai Chideya, MD
Family Practice
NPI 1174816409
4801 DORSEY HALL DR STE 201
Ellicott City, MD 21042
(410) 997-5191
✔ PECOS✔ Accepts MedicareSame address
Indrayani Karkhanis, MD
Family Practice
NPI 1164413852
4801 DORSEY HALL DR SUITE 201
Ellicott City, MD 21042
(410) 997-5191
✔ PECOS✔ Accepts MedicareSame address
Cheryl Leonardi, M.D.
Internal Medicine
NPI 1215912332
4801 DORSEY HALL DR SUITE 205
Ellicott City, MD 21042
(410) 997-4780
✔ PECOS✔ Accepts MedicareSame address
Ruth Webb, FNP
Nurse Practitioner
NPI 1144860479
4801 DORSEY HALL DR STE 201
Ellicott City, MD 21042
(410) 997-5191
✔ PECOS✔ Accepts MedicareSame address
Tyeisha Wilkins Witherspoon, AGPCNP
Nurse Practitioner
NPI 1720800600
4801 DORSEY HALL DR STE 226
Ellicott City, MD 21042
(410) 997-7660
✔ PECOS✔ Accepts MedicareSame address
Steven Eversley, M.D.
Internal Medicine
NPI 1144205865
4801 DORSEY HALL DR SUITE 201
Ellicott City, MD 21042
(410) 997-7660
✔ PECOS✔ Accepts MedicareSame address
Joseph Aleo, M.D.
Internal Medicine
NPI 1831176577
4801 DORSEY HALL DR SUITE 201
Ellicott City, MD 21042
(410) 997-7660
✔ PECOS✔ Accepts MedicareSame address
Rupal Desai, M.D.
Internal Medicine
NPI 1376634626
4801 DORSEY HALL DR SUITE 201
Ellicott City, MD 21042
(410) 997-5191
✔ PECOS✔ Accepts MedicareSame address
Parry Moore, M.D.
Internal Medicine
NPI 1760467880
4801 DORSEY HALL DR SUITE 201
Ellicott City, MD 21042
(410) 997-7660
✔ PECOS✔ Accepts MedicareSame address
Warren Ross, M.D.
Internal Medicine
NPI 1770568891
4801 DORSEY HALL DR SUITE 201
Ellicott City, MD 21042
(410) 997-7660
✔ PECOS✔ Accepts MedicareSame address
Jonathan Schiller, PT, MS
Physical Therapist in Private Practice
NPI 1831206283
4801 DORSEY HALL DR SUITE 130
Ellicott City, MD 21042
(443) 393-3788
Same address
Adejoke Sijuwade, CRNP-FAMILY
Nurse Practitioner
NPI 1811274632
5999 HARPERS FARM RD STE W230
Columbia, MD 21044
(240) 931-0658
✔ PECOS✔ Accepts Medicare2.9 mi
Brittany Harman, FNP-C
Nurse Practitioner
NPI 1639856420
8865 STANFORD BLVD STE 201
Columbia, MD 21045
(443) 277-0675
✔ PECOS✔ Accepts Medicare3.7 mi
Lauren Cano, CRNP
Nurse Practitioner
NPI 1912395310
6334 CEDAR LN
Columbia, MD 21044
(888) 808-6483
✔ PECOS✔ Accepts Medicare4.0 mi
Jane Kapustin, CRNP
Nurse Practitioner
NPI 1114921681
5005 SIGNAL BELL CT STE 102
Clarksville, MD 21029
(410) 531-7557
✔ PECOS✔ Accepts Medicare6.0 mi
Matthew Poffenroth, MD
Internal Medicine
NPI 1487645347
6190 GEORGETOWN BLVD
Eldersburg, MD 21784
(410) 552-5050
✔ PECOS✔ Accepts Medicare13 mi
Tracy Crose Hamm, CRNP
Nurse Practitioner
NPI 1023555281
730 BALTIMORE PIKE
Bel Air, MD 21014
(410) 887-8077
✔ PECOS32 mi
Diane Kepner, M.D.
Internal Medicine
NPI 1487626461
80 WYNTRE BROOKE DR
York, PA 17403
(717) 741-9462
✔ PECOS✔ Accepts Medicare48 mi
Sara Mills, M.D.
Family Practice
NPI 1336373794
80 WYNTRE BROOKE DR
York, PA 17403
(717) 741-9462
✔ PECOS✔ Accepts Medicare48 mi

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 Medical Associates, LLC's NPI number?

The NPI number for Lifebridge Medical Associates, LLC is 1124433628. It was assigned to this organization in the NPPES registry on June 24, 2014. The provider is doing business as Crossroads Medical Group.

Where is Lifebridge Medical Associates, LLC located?

Lifebridge Medical Associates, LLC is located at 4801 Dorsey Hall Dr Ste 201, Ellicott City, MD 21042. The listed phone number is (410) 997-5191.

What is Lifebridge Medical Associates, LLC's specialty?

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

Is Lifebridge Medical Associates, LLC enrolled in Medicare?

Yes. Lifebridge Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifebridge Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Lifebridge Medical Associates, LLC. 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 Internal Medicine (9), Nurse Practitioner (7) and Family Practice (3). Of these, 12 practice at this address and 16 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 Medical Associates, LLC was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.