NPIMap

Individual provider Active NPI

Monica Mix, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1053639831
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2327 Issued in MD
Practice address
1000 E Eager St
Baltimore, MD 21202-5533
Phone
(410) 522-9800
Fax
(410) 522-5138
NPI assigned
May 4, 2010
Last updated
Jun 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2327 MD Primary
Pediatrics Physician 208000000X 2327 MD

Addresses

Primary practice location

1000 E Eager St
Baltimore, MD 21202-5533

Mailing address

1000 E Eager St
Baltimore, MD 21202-5533
Phone (410) 522-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925001647 MD Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4082864178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Yale University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Medical System, Inc.Group PAC ID 5395653455, 86 clinicians

Practice addresses (Care Compare)

5525 Eastern Ave
Suite 301
Baltimore, MD 21224-2796
Phone (410) 558-4804

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2327MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Aug 18, 2014 Accepting new patients
Johns Hopkins University CurrentSince Oct 16, 2017 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine Current Accepting new patients
Johns Hopkins University CurrentSince Apr 1, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Aug 18, 2014 Accepting new patients
Johns Hopkins University CurrentSince Apr 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Oct 16, 2017 Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

600 N Wolfe St
Baltimore, MD 21287

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

Interoperability endpoints

  • Direct secure messaging: mmix6650@direct.hopkinsmedicine.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1053639831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025533",
            "telephone_number": "410-522-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E EAGER ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025533",
            "telephone_number": "410-522-9800",
            "fax_number": "410-522-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIX",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "2327",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "2327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.