STEPHEN J CONDOURIS CRNP
NPI 1669994505
Nurse Practitioner in Baltimore, MD
About Stephen J Condouris Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHEN J CONDOURIS CRNP (NPI 1669994505) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R204143) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephen J Condouris Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Stephen Condouris reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21215
- Reassigned Medicare billing, Maryland enrollment
- 30 clinicians in this Medicare group
Towson, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- 7 clinicians in this Medicare group
Bowie, MD 20715
- Reassigned Medicare billing, District of Columbia enrollment
- 132 clinicians in this Medicare group
Rockville, MD 20850
- Reassigned Medicare billing, Maryland enrollment
- 301 clinicians in this Medicare group
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 96 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephen Condouris's NPI number?
The NPI number for Stephen Condouris is 1669994505. It was assigned to this individual provider in the NPPES registry on July 12, 2017.
Where is Stephen Condouris located?
Stephen Condouris practices at 4544 Keswick Rd, Baltimore, MD 21210. The listed phone number is (410) 852-0458.
What is Stephen Condouris's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stephen Condouris enrolled in Medicare?
Yes. Stephen Condouris is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stephen Condouris's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Condouris reassigns Medicare benefits to 5 organizations: Sinai Hospital Of Baltimore, Inc (Baltimore, MD), Wellness Legacy LLC (Towson, MD), Mnr Industries, LLC (Bowie, MD), Mep Health, LLC (Rockville, MD) and Mep Observation Services LLC (Cumberland, MD). Each 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 Stephen Condouris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephen Condouris was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Stephen J Condouris, CRNP · NPI 1669994505
Nurse Practitioner physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since July 12, 2017.
## Identity
- **NPI:** 1669994505 (Entity type: Individual)
- **Enumerated:** July 12, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R204143 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4544 KESWICK RD, Baltimore, MD 21210
- **Phone:** (410) 852-0458
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sinai Hospital Of Baltimore, Inc (NPI 1790997369, Baltimore, MD); Wellness Legacy LLC (NPI 1992433916, Towson, MD); Mnr Industries, LLC (NPI 1093130924, Bowie, MD); Mep Health, LLC (NPI 1164483558, Rockville, MD); Mep Observation Services LLC (NPI 1093003550, Cumberland, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1669994505) · Data from the CMS NPPES public registry.