Lifebridge Medical Associates, LLC
NPI 1124433628 · Internal Medicine Physician · Ellicott City, MD
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lifebridge Medical Associates, LLC is a Internal Medicine Physician organization in Ellicott City, MD (NPI 1124433628).
Provider details
- NPI number
- 1124433628
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joel Suldan, Vice President(410) 601-5129
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
11 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
Other names (DBA / former)
- Doing business as
- Crossroads Medical Group
- Other name
- Crossroads Medical Group
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Lifebridge Medical Associates, LLC's NPI number?
- Lifebridge Medical Associates, LLC's National Provider Identifier (NPI) is 1124433628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifebridge Medical Associates, LLC?
- Lifebridge Medical Associates, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lifebridge Medical Associates, LLC located?
- Lifebridge Medical Associates, LLC's practice location on file with NPPES is 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766.
- What is Lifebridge Medical Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lifebridge Medical Associates, LLC is (410) 997-5191.
- Does Lifebridge Medical Associates, LLC accept Medicare?
- Lifebridge Medical Associates, LLC 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 Lifebridge Medical Associates, LLC?
- The authorized official listed on Lifebridge Medical Associates, LLC's NPPES record is Joel Suldan, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifebridge Medical Associates, LLC's NPI active?
- Yes — Lifebridge Medical Associates, LLC's NPI (1124433628) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.