Active NPI
Hana Adem, PA
- Physician Assistant
- Baltimore, MD
National Provider Identifier
1013976497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002584
- Practice address
- 900 Canton Avenue
Baltimore, MD 21229 - Phone
- (410) 368-2414
- Fax
- (410) 951-4007
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1144250176
MD, Physician Assistant
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780615922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050721000310 | MD | Practitioner - Physician Assistant | 0143257147 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002584 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Agnes Healthcare Inc | Physician Assistant | Current | Accepting new patients |
| St Agnes Healthcare Inc | Current | Accepting new patients |
Locations
900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002584 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
900 Canton Avenue
Baltimore, MD 21229
Mailing address
PO Box 21182
Baltimore, MD 21228
Phone (410) 368-8640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2011.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1013976497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21182",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-368-8640",
"fax_number": "410-368-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CANTON AVENUE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21229",
"telephone_number": "410-368-2414",
"fax_number": "410-951-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEM",
"first_name": "HANA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.