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INNOVATIVE TREATMENT CENTERS
NPI 1730892035
Family Medicine - Addiction Medicine in Glen Burnie, MD

Active since January 02, 2023
325 HOSPITAL DR STE 106, GLEN BURNIE, MD 21061(917) 873-5716 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2023, Feb 14, 2023, Jan 2, 2023 (3 updates tracked since 2023).

About Innovative Treatment Centers NPPES

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

INNOVATIVE TREATMENT CENTERS (NPI 1730892035) is a healthcare organization registered as an addiction medicine in Glen Burnie, Maryland and active in the NPI registry since January 2023. The organization lists Travis A Baird, Owner, as its authorized official.

NPPES Registry Identity

NPI1730892035
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameINNOVATIVE TREATMENT CENTERS
Location Address325 HOSPITAL DR STE 106Glen Burnie, MD 21061-5806
Mailing Address325 Hospital Dr Ste 106Glen Burnie, MD 21061-5806 · (917) 873-5716
Phone(917) 873-5716
Organization SubpartNo
Authorized OfficialTravis A BairdOwner · (443) 430-2998
Enumeration DateJanuary 2, 2023
Last NPPES UpdateMay 19, 20233 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1730892035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
325 HOSPITAL DR STE 106, Glen Burnie, MD 21061
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Other Identifiers 1

Medicaid699298601MD

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Treatment Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Innovative Treatment Centers, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Travis Baird, NP
Nurse Practitioner
NPI 1235548314
325 HOSPITAL DR STE 106
Glen Burnie, MD 21061
(443) 430-2998
✔ PECOS✔ Accepts MedicareSame address
Navneet Gill, PMHNP-BC
Nurse Practitioner
NPI 1053809871
325 HOSPITAL DR STE 106
Glen Burnie, MD 21061
(443) 430-2998
✔ PECOS✔ Accepts MedicareSame address
Ashley Tsu, CRNP-PMH
Nurse Practitioner
NPI 1770475550
325 HOSPITAL DR STE 106
Glen Burnie, MD 21061
(443) 430-2998
✔ PECOS✔ Accepts MedicareSame address
Cierra Vaughters, PMHNP-BC
Nurse Practitioner
NPI 1043108210
325 HOSPITAL DR STE 106
Glen Burnie, MD 21061
(443) 430-2998
✔ PECOS✔ Accepts MedicareSame address
Rabea Ilahe
Nurse Practitioner
NPI 1801743315
325 HOSPITAL DR STE 106
Glen Burnie, MD 21061
(443) 430-2998
✔ PECOS✔ Accepts MedicareSame address
Laura Mata Lopez, NP
Nurse Practitioner
NPI 1871010793
325 HOSPITAL DR STE 106
Glen Burnie, MD 21061
(443) 430-2998
✔ PECOS✔ Accepts MedicareSame address
Alison Manos
Nurse Practitioner
NPI 1487509477
8259 WOODS RD
Millersville, MD 21108
(410) 310-5083
✔ PECOS✔ Accepts Medicare2.1 mi
Carrie Miller, LCSW-C
Clinical Social Worker
NPI 1265709067
8120 WOODMONT AVE # 840
Bethesda, MD 20814
(240) 618-2889
✔ PECOS✔ Accepts Medicare27 mi
Jose Revollo
Nurse Practitioner
NPI 1013553502
703 CLAMOR CT
Fort Washington, MD 20744
(201) 757-4005
✔ PECOS35 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 Innovative Treatment Centers's NPI number?

The NPI number for Innovative Treatment Centers is 1730892035. It was assigned to this organization in the NPPES registry on January 2, 2023.

Where is Innovative Treatment Centers located?

Innovative Treatment Centers is located at 325 Hospital Dr Ste 106, Glen Burnie, MD 21061. The listed phone number is (917) 873-5716.

What is Innovative Treatment Centers's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Innovative Treatment Centers enrolled in Medicare?

Yes. Innovative Treatment Centers is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Treatment Centers?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Innovative Treatment Centers. 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 Nurse Practitioner (8) and Clinical Social Worker (1). Of these, 6 practice at this address and 7 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 Innovative Treatment Centers was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.