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Johns Hopkins University

Organization Active NPI Adult Congenital Heart Disease Physician · Baltimore, MD

NPI 1083224596 · NPPES record last updated Mar 7, 2021

Key facts

NPI
1083224596
Entity type
Organization (NPI type 2)
Primary specialty
Adult Congenital Heart Disease Physician 207RA0002X
Legal business name
JOHNS HOPKINS UNIVERSITY
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(410) 955-5000
NPI assigned
Aug 10, 2020
Organization subpart
Yes
Parent organization (as reported)
JOHNS HOPKINS UNIVERSITY

Authorized official

Name
Shavonda L Keating
Title
Sr Production Unit MGR
Phone
(410) 933-6430

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2,887

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,887

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Johns Hopkins Home Health Services
Baltimore, MD · CCN 217081B		 Home health agency 5% Or Greater Indirect Ownership Interest (50%) Jun 6, 1990
Johns Hopkins Pediatrics at Home
Baltimore, MD · CCN 217131		 Home health agency 5% Or Greater Direct Ownership Interest (30%)
5% Or Greater Indirect Ownership Interest (65%)		 Dec 7, 1992
Dec 7, 1992

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20201112001793 MD Part B Supplier - Hospital Department(S) 8921903147 Receives reassigned benefits from 3 practitioners
Practice locations: Baltimore, MD

National Provider Directory

Tax ID family
Johns Hopkins Univ Emer (439 organizations share this tax ID)
Part of
Johns Hopkins Univ Emer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Congenital Heart Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RA0002X Yes

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

PO Box 64250
Baltimore, MD 21264-4250
Phone (410) 933-3867

Other identifiers

IdentifierTypeStateIssuer
444278400MedicaidMD

Other names

  • JHU - CARDIOLOGY/ACHD Doing business as

Other providers in Baltimore, MD

All providers in Baltimore, MD · Adult Congenital Heart Disease Physician in Maryland

Sources for this page

Verify at the official NPI Registry.