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MID-ATLANTIC NEPHROLOGY ASSOCIATES PA
NPI 1356390108
Internal Medicine - Nephrology in Baltimore, MD

Active since May 09, 2006
1589 SULPHUR SPRING RD, SUITE 109, BALTIMORE, MD 21227(410) 536-5400(410) 737-2168 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2024, May 22, 2017 (2 updates tracked since 2017).

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 1356390108) is a healthcare organization registered as a nephrology in Baltimore, Maryland and active in the NPI registry since May 2006. The organization lists Robert Fuld, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1356390108
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMID-ATLANTIC NEPHROLOGY ASSOCIATES PA
Location Address1589 SULPHUR SPRING RD, SUITE 109Baltimore, MD 21227-2542
Mailing Address1589 Sulphur Spring Rd, Suite 109Baltimore, MD 21227-2542 · (410) 536-5400 · Fax (410) 737-2168
Phone(410) 536-5400
Fax(410) 737-2168
Organization SubpartNo
Authorized OfficialRobert FuldPresident/ceo · (410) 536-5400
Enumeration DateMay 9, 2006
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1356390108 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.
1589 SULPHUR SPRING RD, Baltimore, MD 21227
Open in Google Maps ↗

Other Names 1

Other NameDialysis Access Specialists

Other Identifiers 1

Medicaid78161400MD

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)

Mid-atlantic Nephrology Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Mid-Atlantic Nephrology Associates PA, which bills Medicare for the services they deliver. Of these, 23 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nephrology42
Nurse Practitioner19
Internal Medicine1

Nearest to this location (20)

See all 62
Navneet Ahuja, M.D.
Nephrology
NPI 1346219177
516 N ROLLING RD STE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Saira Amir, MD MPH
Nephrology
NPI 1295357770
516 N ROLLING RD STE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Victoria Juma, CRNP
Nurse Practitioner
NPI 1598406092
516 N ROLLING RD STE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Tamil Kuppusamy, M.D.
Nephrology
NPI 1356349781
516 N ROLLING RD SUITE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Muluwork Mengesha, NP
Nurse Practitioner
NPI 1467342758
516 N ROLLING RD STE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Rudolf Pullmann, MD
Nephrology
NPI 1164673588
516 N ROLLING RD STE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Kenneth Yim, M.D.
Nephrology
NPI 1386642643
516 N ROLLING RD STE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Ajay Gangalam, MD
Nephrology
NPI 1295910404
516 N ROLLING RD STE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Nichol Omarr, CRNP
Nurse Practitioner
NPI 1598726655
516 N ROLLING RD SUITE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Amanda Rothenbecker, CRNP
Nurse Practitioner
NPI 1568831329
516 N ROLLING RD SUITE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS✔ Accepts Medicare4.2 mi
Paul Turer, M.D.
Nephrology
NPI 1922006287
516 N ROLLING RD STE 304
Catonsville, MD 21228
(410) 744-0890
✔ PECOS4.2 mi
Manju Mavanur, MD
Nephrology
NPI 1164434932
22 S GREENE ST
Baltimore, MD 21201
(410) 706-4613
✔ PECOS✔ Accepts Medicare4.5 mi
Anita Pasumarthy, M.D.
Nephrology
NPI 1497792394
301 SAINT PAUL ST STE 605
Baltimore, MD 21202
(410) 332-1111
✔ PECOS✔ Accepts Medicare5.2 mi
Novia Singh, DO
Nephrology
NPI 1356738835
301 SAINT PAUL ST STE 605
Baltimore, MD 21202
(410) 332-1111
✔ PECOS✔ Accepts Medicare5.2 mi
Hossam Abdalla, M.D.
Nephrology
NPI 1285031765
6934 AVIATION BLVD STE F
Glen Burnie, MD 21061
(410) 760-3588
✔ PECOS✔ Accepts Medicare5.5 mi
Sarina Ahuja, MD
Nephrology
NPI 1821275827
6934 AVIATION BLVD STE F
Glen Burnie, MD 21061
(410) 760-3588
✔ PECOS✔ Accepts Medicare5.5 mi
Anuradha Boddeti, M.D.
Nephrology
NPI 1023089471
6934 AVIATION BLVD STE F
Glen Burnie, MD 21061
(410) 760-3588
✔ PECOS✔ Accepts Medicare5.5 mi
Ngefek Tayo, CRNP
Nurse Practitioner
NPI 1174198386
6934 AVIATION BLVD STE F
Glen Burnie, MD 21061
(410) 760-3588
✔ PECOS✔ Accepts Medicare5.5 mi
Pamela Young, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1124564778
6934 AVIATION BLVD STE F
Glen Burnie, MD 21061
(410) 760-3588
✔ PECOS✔ Accepts Medicare5.5 mi
Woinshet Bekele-Jembere, NP
Nurse Practitioner
NPI 1972272524
5401 OLD COURT RD
Randallstown, MD 21133
(410) 521-2200
✔ PECOS✔ Accepts Medicare9.1 mi
See all 62 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 Mid-Atlantic Nephrology Associates PA's NPI number?

The NPI number for Mid-Atlantic Nephrology Associates PA is 1356390108. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is also known as Dialysis Access Specialists.

Where is Mid-Atlantic Nephrology Associates PA located?

Mid-Atlantic Nephrology Associates PA is located at 1589 Sulphur Spring Rd Suite 109, Baltimore, MD 21227. The listed phone number is (410) 536-5400.

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.

Is Mid-Atlantic Nephrology Associates PA enrolled in Medicare?

Yes. Mid-Atlantic Nephrology Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Atlantic Nephrology Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 3 Medicare specialties reassign their Medicare billing to Mid-Atlantic Nephrology Associates PA. 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 Nephrology (42), Nurse Practitioner (19) and Internal Medicine (1). Of these, 23 practice 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 Mid-Atlantic Nephrology Associates PA was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.