Justin Kirk, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0003109 Issued in MD

Practice address

4940 Eastern Ave
Baltimore, MD 21224-2735

Phone

(410) 550-7679

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044
• Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkirk34416@direct.hopkinsmedicine.org

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.

• Cep America LLC

  dba Vituity

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1821434002
  Medicare reassignment Care Compare group
• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment
• Small Point Urgent Care, P.C.

  dba Ezmed

  • Urgent Care Clinic/Center
  • Timonium, MD
  • NPI 1386952034
  Medicare reassignment
• Cep America LLC

  • Emergency Medicine Physician
  • Towson, MD
  • NPI 1093591570
  NPD
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  dba Jhu - Emergency Medicine

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1386631810
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Ez Primed LLC

  • Internal Medicine Physician
  • Timonium, MD
  • NPI 1619614724
  NPD (past)
• Medlantic Healthcare Group

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1467408450
  NPD (past)

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

• Greater Baltimore Medical Center, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1255372397
  Care Compare affiliation
• Johns Hopkins Bayview Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1790700904
  Care Compare affiliation
• Johns Hopkins Bayview Medical Center, Inc.

  dba Johns Hopkins Bayview Care Center

  • Chronic Disease Hospital
  • Baltimore, MD
  • NPI 1336251412
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073553277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 DAYBROOK CIR APT 128",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212375050",
            "telephone_number": "410-931-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JUSTIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina L Kirchner-Sullivan, CRNP
• Bryana Park Kiritsy, PA-C
• Michael Kiritsy, MD
• Arethusa Stevens Kirk, MD
• Gregory Dale Kirk, M.D.
• Kennedy Morgan Kirk
• Nicole Kirk, PA
• Sharon Kirk, LGSW
• Larry Kirkland
• Timothy Kirkman, OD

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.