NPIMap

Organization Active NPI

Johns Hopkins University

Doing business as Jhu - Radiology

  • Body Imaging Physician
  • Baltimore, MD
National Provider Identifier
1093796609
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
JOHNS HOPKINS UNIVERSITY
Doing business as
Jhu - Radiology
Practice address
600 N Wolfe St
Baltimore, MD 21205-2101
Phone
(410) 356-8186
NPI assigned
Nov 10, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHNS HOPKINS UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD Primary
Neuroradiology Physician 2085N0700X MD
Diagnostic Radiology Physician 2085R0202X MD
Vascular & Interventional Radiology Physician 2085R0204X MD

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21205-2101

Mailing address

PO Box 64358
Baltimore, MD 21264-4358

Other identifiers 3

IdentifierTypeStateIssuer
053313600MedicaidDC
CA9048OtherMDRRMC
132441100MedicaidMD

Other names 1

  • JHU - RADIOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, CO, MA, CA, NC, WA, FL, MI, MO, WI, IL, NY, AZ, NJ, SD, TX, PA18 enrollments

Enrollment records 18

Enrollment IDStateProvider typePAC IDDetails
O20031215000719 MD Part B Supplier - Clinic/Group Practice 8921903147 Receives reassigned benefits from 4,764 practitioners
This NPI is an additional NPI on the enrollment
O20141208000975 DC Part B Supplier - Hospital Department(S) 4981745098 Receives reassigned benefits from 182 practitioners
Practice locations: Bethesda, MD; Washington, DC
O20220414001112 CO Part B Supplier - Hospital Department(S) 1052223229 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Collins, CO; Evergreen, CO; Denver, CO
O20220418000352 MA Part B Supplier - Hospital Department(S) 1052223229 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, MA; Dorchester, MA; East Sandwich, MA; Sharon, MA
O20220516000496 CA Part B Supplier - Other 1052223229 Receives reassigned benefits from 3 practitioners
Practice locations: Huntington Beach, CA; Santa Cruz, CA
O20220523002593 NC Part B Supplier - Hospital Department(S) 8921903147 Receives reassigned benefits from 7 practitioners
Practice locations: Durham, NC; Greenville, NC; Raleigh, NC
O20220623001068 WA Part B Supplier - Clinic/Group Practice 1052223229 Receives reassigned benefits from 2 practitioners
Practice locations: Coupeville, WA; Vancouver, WA
O20220921003264 FL Part B Supplier - Clinic/Group Practice 1052223229 Receives reassigned benefits from 6 practitioners
Practice locations: Lutz, FL; Orlando, FL; Sanford, FL; St Petersburg, FL; Winter Park, FL
O20221017000421 MI Part B Supplier - Clinic/Group Practice 1052223229 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Hills, MI
O20221109001089 MO Part B Supplier - Clinic/Group Practice 8921903147 Receives reassigned benefits from 6 practitioners
Practice locations: Frontenac, MO; Saint Louis, MO; Parkville, MO; Kansas City, MO
O20221111001753 WI Part B Supplier - Clinic/Group Practice 1052223229 Receives reassigned benefits from 2 practitioners
Practice locations: Pewaukee, WI; Elm Grove, WI
O20230123001356 IL Part B Supplier - Clinic/Group Practice 1052223229 Receives reassigned benefits from 4 practitioners
Practice locations: Barrington, IL; Chicago, IL; Clarendon Hills, IL
O20230210000064 NY Part B Supplier - Clinic/Group Practice 1052223229 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsford, NY
O20230315001207 AZ Part B Supplier - Clinic/Group Practice 1052223229 Receives reassigned benefits from 2 practitioners
Practice locations: Paradise Valley, AZ; Scottsdale, AZ
O20230315002305 NJ Part B Supplier - Clinic/Group Practice 1052223229 Receives reassigned benefits from 1 practitioner
Practice locations: Moorestown, NJ
O20241010004024 SD Part B Supplier - Clinic/Group Practice 2264963933 Practice locations: Yankton, SD
O20250701002470 TX Part B Supplier - Hospital Department(S) 2264963933 Receives reassigned benefits from 1 practitioner
Practice locations: Tomball, TX
O20260104000124 PA Part B Supplier - Clinic/Group Practice 2264963933 Receives reassigned benefits from 1 practitioner
Practice locations: Downingtown, PA

Other NPIs with the same Medicare PAC ID 34

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

View all 34

National Provider Directory

National Provider Directory
Part of
Johns Hop Univ Inter Me

Ownership & related parties

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 ServicesBaltimore, MD, CCN 217081B Home health agency 5% Or Greater Indirect Ownership Interest (50%) Jun 6, 1990
Johns Hopkins Pediatrics at HomeBaltimore, 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

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 356

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 356

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093796609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64358",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212052101",
            "telephone_number": "410-356-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNS HOPKINS UNIVERSITY",
        "enumeration_date": "2005-11-10",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-07",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "SHAVONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR PRODUCTION UNIT MGR",
        "authorized_official_telephone_number": "410-933-6430"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053313600",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "CA9048",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132441100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JHU - RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JHU - RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.