Individual provider Active NPI

Carolina Radzyminska Johnson, PA-C

  • Physician Assistant
  • Catonsville, MD
National Provider Identifier
1093287260
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006944 Issued in MD
Practice address
910 Frederick Rd
Catonsville, MD 21228-4516
Phone
(410) 644-1880
Fax
(410) 646-3623
NPI assigned
Dec 27, 2018
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006944 MD Primary

Addresses

Primary practice location

910 Frederick Rd
Catonsville, MD 21228-4516

Mailing address

910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880

Other practice location 1

6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone (301) 276-3377

Other names 1

  • Carolina Radzyminska Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190304002465 DC Practitioner - Physician Assistant 4688913965 Reassigns benefits to 2 organizations
I20210602002710 MD Practitioner - Physician Assistant 4688913965 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 300
Columbia, MD 21044-3260
Phone (410) 644-1880

6300 Georgetown Blvd
Eldersburg, MD 21784-6481
Phone (410) 644-1880

910 Frederick Rd
Catonsville, MD 21228-4516
Phone (410) 644-1880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006944MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Jul 13, 2020 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 16, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 16, 2025 Accepting new patients
Centennial Medical Group, PA Internal Medicine CurrentSince Jan 29, 2024 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jun 14, 2021 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 13, 2020 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jun 14, 2021 Accepting new patients
First Call Medical Center LLC CurrentSince Dec 1, 2023 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

2401 W Belvedere Ave
Baltimore, MD 21215

910 Frederick Rd
Catonsville, MD 21228

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

10750 Columbia Pike
Ste 401
Silver Spring, MD 20901
Phone (202) 832-1800

10750 Columbia Pike
Ste 401A
Silver Spring, MD 20901
Phone (301) 593-6072

Interoperability endpoints

  • Direct secure messaging: 17crjohnson@cfaortho.emadirect.md

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1093287260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284516",
            "telephone_number": "410-644-1880",
            "fax_number": "410-646-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FREDERICK RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284516",
            "telephone_number": "410-644-1880",
            "fax_number": "410-646-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Landover Hills",
            "state": "MD",
            "postal_code": "207841307",
            "country_code": "US",
            "telephone_number": "301-276-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLINA",
        "middle_name": "RADZYMINSKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6201 Annapolis Rd",
            "city": "Landover Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207841307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "RADZYMINSKA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.