Dr Gabriel Soudry, MD in Baltimore, MD - Medicare Nuclear Medicine

Dr Gabriel Soudry, MD is a medicare enrolled "Nuclear Medicine" physician in Baltimore, Maryland. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Nuclear Medicine. He is a member of the group practice Advanced Radiology P A, Medstar Medical Group Radiology, Llc, Medstar Medical Group Radiology, Llc and his current practice location is 9000 Franklin Square Dr, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 935-6685.

Dr Gabriel Soudry is licensed to practice in Maryland (license number D45134) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679681225.

Contact Information

	Dr Gabriel Soudry, MD
	9000 Franklin Square Dr, Baltimore, MD 21237-3901
	(410) 935-6685
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gabriel Soudry
Gender	Male
Speciality	Nuclear Medicine
Experience	38 Years
Location	9000 Franklin Square Dr, Baltimore, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gabriel Soudry graduated from medical school in 1986

NPI Data:

NPI Number: 1679681225
Provider Enumeration Date: 08/25/2006
Last Update Date: 09/21/2016

Medicare PECOS Information:

PECOS PAC ID: 5890757645
Enrollment ID: I20061020000383

Medical Identifiers

Medical identifiers for Dr Gabriel Soudry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679681225	NPI	-	NPPES
T3900001	Other	DC	BLUE SHIELD
60982201	Other	MD	BLUE SHIELD
364201100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	D45134 (Maryland)	Secondary
207U00000X	Nuclear Medicine	D45134 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Franklin Square Medical Center	Baltimore, MD	Hospital
Medstar Harbor Hospital	Baltimore, MD	Hospital
Medstar Union Memorial Hospital	Baltimore, MD	Hospital
Medstar Southern Maryland Hospital Center	Clinton, MD	Hospital
Medstar Good Samaritan Hospital	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Radiology P A	1254327950	135
Medstar Medical Group Radiology, Llc	1557589157	163
Medstar Medical Group Radiology, Llc	1557589157	163

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gabriel Soudry allows following entities to bill medicare on his behalf.

Entity Name	Advanced Radiology P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932167178 PECOS PAC ID: 1254327950 Enrollment ID: O20040420001334

Entity Name	Medstar Medical Group Radiology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140822001847

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gabriel Soudry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gabriel Soudry, MD 9000 Franklin Square Dr, Baltimore, MD 21237-3901 Ph: (410) 935-6685	Dr Gabriel Soudry, MD 9000 Franklin Square Dr, Baltimore, MD 21237-3901 Ph: (410) 935-6685

Dr Gabriel Soudry, MD - Medicare Nuclear Medicine in Baltimore, MD