MEDICARE: SINAI HOSPITAL OF BALTIMORE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	30-062	MD
2	2080P0208X	Pediatric Infectious Diseases Physician	30-062	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC3778	OTHER	MD	R/R MEDICARE GROUP #
2	CA8374	OTHER	MD	R/R MEDICARE GROUP #

General Provider Information

NPI Number	:	1790700326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINAI HOSPITAL OF BALTIMORE, INC.

Provider Business Mailing Address
First Line	:	200 MEMORIAL AVE
Second Line	:	ATTN: PAYOR CREDENTIALING DEPT
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5726
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5101 LANIER AVE
Second Line	:	SINAI DEPT OF PEDIATRICS
City	:	BALTIMORE
State	:	MD
Zip	:	21215-5321
Country	:	US
Telephone Number	:	410-601-9300
Fax Number	:	410-601-8766

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MARY REBECCA WRIGHT-SISK
Credential	:
Telephone Number	:	410-701-4439

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/15/2026

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Directions to “SINAI HOSPITAL OF BALTIMORE, INC. ” Practice Location

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