Individual provider Active NPI

Alexandra Miller Dunham, MD

  • Pediatric Orthopaedic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1093139065
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
D0097308 Issued in MD
Practice address
110 S Paca Street
6TH Floor, Ste 300, Orthopaedic Surgery
Baltimore, MD 21201
Phone
(410) 328-6040
NPI assigned
Feb 12, 2014
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X D0097308 MD Primary

Addresses

Primary practice location

110 S Paca Street
6TH Floor, Ste 300, Orthopaedic Surgery
Baltimore, MD 21201

Mailing address

110 S Paca Street
6TH Floor, Ste 300, Orthopaedic Surgery
Baltimore, MD 21201-1642
Phone (410) 328-6040

Other names 1

  • Alexandra Marie Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220621000875 MA Practitioner - Orthopedic Surgery 2264724970 Reassigns benefits to 1 organization
I20231011003077 DC Practitioner - Orthopedic Surgery 2264724970 Reassigns benefits to 1 organization
I20231011003307 MD Practitioner - Orthopedic Surgery 2264724970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Johns Hopkins University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0097308MDMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. Single Specialty CurrentSince Sep 13, 2023 Accepting new patients
University of Maryland Orthopaedic Trauma Associates, PA Single Specialty CurrentSince Aug 20, 2023 Accepting new patients
Children's Orthopaedic Surgery Foundation, Inc. Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
University of Maryland Orthopaedic Associates PA Pediatric Orthopaedic Surgery CurrentSince Aug 20, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Sep 13, 2023 Accepting new patients
University of Maryland Orthopaedic Associates P a Single Specialty CurrentSince Aug 20, 2023 Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

255 Hospital Dr
Ste 207
Glen Burnie, MD 21061
Phone (410) 443-8170

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: adunham1059435@direct.umm.edu

Organizations & group practices 6

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1093139065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA STREET",
            "address_2": "6TH FLOOR, STE 300, ORTHOPAEDIC SURGERY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA STREET",
            "address_2": "6TH FLOOR, STE 300, ORTHOPAEDIC SURGERY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "ALEXANDRA",
        "middle_name": "MILLER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MD",
            "license": "D0097308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "MILLER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.