Individual provider Active NPI

Myla Carpenter, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1073588596
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0030989 Issued in MD
Practice address
711 Maiden Choice LN
Baltimore, MD 21228-3632
Phone
(410) 247-5602
Fax
(410) 242-1756
NPI assigned
Feb 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0030989 MD Primary

Addresses

Primary practice location

711 Maiden Choice LN
Baltimore, MD 21228-3632

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (410) 402-2379

Other practice location 1

7051 Rockledge Dr
Bethesda, MD 20817-1680
Phone (301) 272-9830

Other practice location 2

8800 Walther Blvd
Parkville, MD 21234-9001
Phone (410) 882-3240

Other practice location 3

3110 Gracefield Rd
Silver Spring, MD 20904-1820
Phone (301) 572-8340

Other identifiers 7

IdentifierTypeStateIssuer
T016-0002OtherBCBS-DC
0403153OtherEVERCARE
363271700MedicaidMD
093N-411710-03OtherCAREFIRST BCBS OF MD
41171003OtherMDBCBS
KGO1ER-411710-03OtherCAREFIRST BCBS OF MD
008203100MedicaidMD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000059 MD Practitioner - Internal Medicine 4486779824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erickson Health Medical Group of Maryland, PCGroup PAC ID 2860304136, 38 clinicians

Practice addresses (Care Compare)

711 Maiden Choice LN
Catonsville, MD 21228-3632
Phone (410) 247-5602

Hospital & facility affiliations

  • Charlestown Home Health Agency Home health agency, Catonsville, MD, CCN 217137
  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526
  • Charlestown Community Inc Nursing home, Catonsville, MD, CCN 215223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0030989MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Maryland PC Internal Medicine CurrentSince Jun 1, 1998 Accepting new patients
Erickson Health Medical Group of Maryland PC Internal Medicine CurrentSince Jun 1, 1998 Accepting new patients
Erickson Health Medical Group of Maryland PC Internal Medicine Past Accepting new patients
Erickson Health Medical Group of Maryland PC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

711 Maiden Choice Ln
Catonsville, MD 21228
Phone (410) 247-5602

5525 Research Park Dr
Fl 4
Catonsville, MD 21228
Phone (410) 247-5602

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Charlestown Care CenterCatonsville, MD, CCN 215223 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 5, 2010
Mar 31, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

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": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1073588596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "410-402-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MAIDEN CHOICE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283632",
            "telephone_number": "410-247-5602",
            "fax_number": "410-242-1756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7051 Rockledge Dr",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171680",
            "country_code": "US",
            "telephone_number": "301-272-9830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 Walther Blvd",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212349001",
            "country_code": "US",
            "telephone_number": "410-882-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Gracefield Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209041820",
            "country_code": "US",
            "telephone_number": "301-572-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MYLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-19",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0030989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-DC",
            "identifier": "T016-0002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0403153",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363271700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "093N-411710-03",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41171003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "KGO1ER-411710-03",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008203100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.