Upper Crossroads Medical Group
NPI 1104290261 · General Practice Physician · Fallston, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Upper Crossroads Medical Group is a General Practice Physician organization in Fallston, MD (NPI 1104290261).
Provider details
- NPI number
- 1104290261
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Salvacion Lazatin, Physician/Partner(410) 557-9191
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-11-30
- Last updated
- 2015-11-30
Frequently asked questions
- What is Upper Crossroads Medical Group's NPI number?
- Upper Crossroads Medical Group's National Provider Identifier (NPI) is 1104290261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upper Crossroads Medical Group?
- Upper Crossroads Medical Group is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Upper Crossroads Medical Group located?
- Upper Crossroads Medical Group's practice location on file with NPPES is 2412 Baldwin Mill Rd, Fallston, MD 21047.
- What is Upper Crossroads Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Upper Crossroads Medical Group is (410) 557-9191.
- Does Upper Crossroads Medical Group accept Medicare?
- Upper Crossroads Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Upper Crossroads Medical Group?
- The authorized official listed on Upper Crossroads Medical Group's NPPES record is Salvacion Lazatin, Physician/Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upper Crossroads Medical Group's NPI active?
- Yes — Upper Crossroads Medical Group's NPI (1104290261) is active in the NPPES registry as of the last update on 2015-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.