SERGIO A. LIZAMA-HERNANDEZ
NPI 1780079129
Internal Medicine - Endocrinology, Diabetes & Metabolism in Baltimore, MD

Q: What is Sergio Lizama-hernandez's NPI number?

The NPI number for Sergio Lizama-hernandez is 1780079129. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Q: What is Sergio Lizama-hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment

86.79/100

CMS Quality Rating

5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239(443) 444-4193 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sergio A. Lizama-hernandez NPPES

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

SERGIO A. LIZAMA-HERNANDEZ (NPI 1780079129) is an individual endocrinology, diabetes & metabolism provider in Baltimore, Maryland, licensed in Maryland (D0087881) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1780079129

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameSERGIO A. LIZAMA-HERNANDEZ

Location Address5601 LOCH RAVEN BLVDBaltimore, MD 21239-2950

Mailing Address5601 Loch Raven BlvdBaltimore, MD 21239-2950 · (443) 444-4193 · Fax (443) 444-4080

Phone(443) 444-4193

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 2, 2015

Last NPPES UpdateNovember 5, 2025

NPPES CertifiedNovember 5, 2025

✔ NPI 1780079129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MD · D0087881

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

5601 LOCH RAVEN BLVD, Baltimore, MD 21239

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sergio A. Lizama-hernandez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951646090

PECOS Enrollment IDI20191115000043

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sergio Lizama-hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC

Same address

General Practice

5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239

Reassigned Medicare billing, Maryland enrollment
2,602 clinicians in this Medicare group

NPI 1184046187 (443) 444-5606

Johns Hopkins Community Physicians, Inc

4.3 mi

Internal Medicine

600 N WOLFE ST
Baltimore, MD 21287

Reassigned Medicare billing, District of Columbia and Maryland enrollments
Also billed through NPI 1124629837 (Maryland)
691 clinicians in this Medicare group

NPI 1255359972 (410) 502-2037

Maryland Endocrine, P.A.

16 mi

Endocrinology, Diabetes & Metabolism

5500 KNOLL NORTH DR STE 510
Columbia, MD 21045

Reassigned Medicare billing, Maryland enrollment
12 clinicians in this Medicare group

NPI 1316913486 (301) 953-2080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

511 services308 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

144 services70 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

83 services77 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

60 services53 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

59 services54 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

55 services50 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

54 services48 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

49 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

44 services36 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

42 services40 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

42 services36 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

42 services36 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

33 services31 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

32 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

26 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Fine needle aspiration biopsy using ultrasound guidance, each additional growth 10006

A fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is used to collect cells from a growth. Ultrasound helps accurately locate the growth. If there's more than one growth, each one is biopsied separately.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210015

Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County

Emergency services Birthing friendly

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210024

Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County

Emergency services

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210056

Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.46

Promoting Interoperability

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers11 claims142 services$18.26 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

3 suppliers11 claims330 services$2.35 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

32 suppliers98 claims365 services$6.24 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

22 suppliers61 claims111 services$1.06 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

20 suppliers214 claims218 services$179.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JACQUELINE L. HOOVER P.A.-C

Physician Assistant

5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239

Baltimore City (443) 444-4730

DR. TIFFANI DANIELLE PITTMAN M.D.

Anesthesiology

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (443) 444-4863

DR. SUJAN THAPALIYA M.D.

Internal Medicine

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (855) 633-0363

SHARAREH SHERRY BADRI M.D.

Internal Medicine (Geriatric Medicine)

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (443) 444-6100

ALAYNA MARIE BLAZAKIS CRNP

Nurse Practitioner

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (443) 444-4275

DR. ELIAS K SHAYA M.D.

Psychiatry & Neurology (Psychiatry)

5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239

Baltimore City (410) 532-4540

CANDICE DIOR JORDAN M.D.

Emergency Medicine

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (855) 633-5655

SONJA STANTON RN BSN

Registered Nurse (Gerontology)

5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

Baltimore City (443) 444-6100

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 Sergio Lizama-hernandez's NPI number?

The NPI number for Sergio Lizama-hernandez is 1780079129. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Sergio Lizama-hernandez located?

Sergio Lizama-hernandez practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (443) 444-4193.

What is Sergio Lizama-hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sergio Lizama-hernandez enrolled in Medicare?

Yes. Sergio Lizama-hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sergio Lizama-hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Lizama-hernandez reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Baltimore, MD), Johns Hopkins Community Physicians, Inc (Baltimore, MD) and Maryland Endocrine, P.A. (Columbia, 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 Sergio Lizama-hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sergio Lizama-hernandez affiliated with any hospitals?

According to CMS data, Sergio Lizama-hernandez is affiliated with Medstar Franklin Square Medical Center, Medstar Union Memorial Hospital and Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Lizama-hernandez was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.