Active NPI
Maria Kristina Ilse Kern, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Baltimore, MD
National Provider Identifier
1083109730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- D0100149
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5216 - Phone
- (410) 601-9000
- NPI assigned
- Jun 26, 2018
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 4301504719 | MI | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | D0100149 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Mailing address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0100149 | MD | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
| 4301504719 | MI | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mep Health, LLC | Current | Accepting new patients |
Locations
2401 W Belvedere Ave
Baltimore, MD 21215
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1083109730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "MARIA KRISTINA",
"middle_name": "ILSE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "MI",
"license": "4301504719",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "MD",
"license": "D0100149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.