NPIMap

Organization Active NPI

Kennedy Krieger Children's Hospital, Inc.

Doing business as Kennedy Krieger Institute

  • Children's Chronic Disease Hospital
  • Columbia, MD
National Provider Identifier
1053129106
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Chronic Disease HospitalTaxonomy code 281PC2000X
Legal business name
KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.
Doing business as
Kennedy Krieger Institute
Practice address
9810 Patuxent Woods Dr
Columbia, MD 21046-1595
Phone
(443) 923-3895
Fax
(443) 923-4390
NPI assigned
Dec 20, 2024
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Badie
Title
Vice President Finance
Phone
(443) 923-1812

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU
Children's Chronic Disease Hospital 281PC2000X NU Primary
Psychiatric Hospital 283Q00000X NU
Rehabilitation Hospital 283X00000X NU
Children's Rehabilitation Hospital 283XC2000X NU
Special Hospital 284300000X NU
Clinical Medical Laboratory 291U00000X NU
Long Term Care Hospital 282E00000X NU

Addresses

Primary practice location

9810 Patuxent Woods Dr
Columbia, MD 21046-1595

Mailing address

1741 Ashland Ave
6TH Floor Room 642
Baltimore, MD 21205-1531
Phone (443) 923-1842

Other identifiers 3

IdentifierTypeStateIssuer
MD9OtherMDID
955675300MedicaidMD
59351301OtherMDID

Other names 1

  • KENNEDY KRIEGER INSTITUTE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090831000534 MD Part A Provider - Hospital 5496762825 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, MD; Odenton, MD; Middle River, MD; Fulton, MD; Baltimore, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053129106. Details of each certification follow.

Hospital certification: CCN 213301

Legal name
KENNEDY KRIEGER CHILDRENS HOSPITAL INC
Doing business as
KENNEDY KRIEGER INSTITUTE
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jul 1, 1988
Last certification
May 3, 1989
Beds
63
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 17, 1937 in MD
Enrollment address
707 North Broadway
Baltimore, MD 21205-1832
Main/Primary Hospital Location
Hospital subgroups
Children’s

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
Kennedy Krieger InstituteCCN 213301 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Kennedy Krieger Childrens Hospital Inc19 organizations share this tax ID, including this one
Part of
Kennedy Krieger Childrens Hospital Inc

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bank of America, N.a. Organization, Baltimore, MD Created for acquisition, Financial institution 5% Or Greater Mortgage Interest Jun 1, 2011 15%
James M Anders Individual Corporate OfficerExecutive Vice President Coo Nov 18, 1986
Lisa Badie Individual 5% Or Greater Indirect Ownership Interest Nov 13, 2024
W-2 Managing EmployeeVP, Finance Nov 13, 2024
Bradley L Schlaggar Individual Corporate OfficerPresident, Chief Executive Officer Aug 1, 2018 100%
Truist Organization, Baltimore, MD Created for acquisition, Financial institution 5% Or Greater Mortgage Interest Dec 1, 2010 10%
Kennedy Krieger Institute Organization, Baltimore, MD Created for acquisition, Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 1986 100%
Joann Kubica Individual W-2 Managing EmployeeVP, Revenue Cycle Integrity Feb 1, 2020 1%
Michael Neuman Individual Corporate OfficerSenior Vice President Cfo Feb 5, 1990
Operational/Managerial ControlSenior Vice President Cfo Feb 5, 1990

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 58

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1053129106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 ASHLAND AVE",
            "address_2": "6TH FLOOR ROOM 642",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051531",
            "telephone_number": "443-923-1842",
            "fax_number": "667-205-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 PATUXENT WOODS DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461595",
            "telephone_number": "443-923-3895",
            "fax_number": "443-923-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEDY KRIEGER CHILDREN'S HOSPITAL, INC.",
        "enumeration_date": "2024-12-20",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "BADIE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "443-923-1812"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "281PC2000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283XC2000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "MD9",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "955675300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "59351301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENNEDY KRIEGER INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.