Individual provider Active NPI

Michal Aliza Denise, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1073212908
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R209587 Issued in MD
Practice address
5101 Lanier Ave
Baltimore, MD 21215-5321
Phone
(410) 601-9300
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R209587 MD Primary

Addresses

Primary practice location

5101 Lanier Ave
Baltimore, MD 21215-5321

Mailing address

2719 Woodcourt Rd
Baltimore, MD 21209-2521
Phone (408) 621-5775

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502001453 MD Practitioner - Nurse Practitioner 9739544495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

2401 W Belvedere Ave
Sinai OB/GYN Associates
Baltimore, MD 21215-5216
Phone (410) 601-5530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R209587MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Apr 30, 2023 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Apr 30, 2023 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

5051 Greenspring Ave
Ste 100
Baltimore, MD 21209
Phone (410) 601-4921

5101 Lanier Ave
Baltimore, MD 21215
Phone (410) 542-7800

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1073212908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 WOODCOURT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092521",
            "telephone_number": "408-621-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 LANIER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155321",
            "telephone_number": "410-601-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISE",
        "first_name": "MICHAL",
        "middle_name": "ALIZA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R209587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.