Johns Hopkins University
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Baltimore, MD
NPI 1104816172 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1104816172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- JOHNS HOPKINS UNIVERSITY
- Practice address
- 600 N. Wolfe Street
Baltimore, MD 21264-0001 - Phone
- (410) 558-5238
- NPI assigned
- Oct 21, 2005
- 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
Other NPIs with the same Medicare PAC ID 11
Practitioners 2,897
-
Samuel C Durso, M.D.
-
Jessica Leigh Colburn, M.D.
-
Peter M Abadir, M.D.
-
Halima Amjad, M.D.
-
Alicia I Arbaje, M.D.
-
Michele F Bellantoni, M.D.
-
Jennifer Rose Castello, CRNP
-
Thomas Kofi Mensah Cudjoe, MD, MPH
-
Ariel Ruth Green, MD, MPH
-
David Hurwitz, MD
-
Marion Archer James, CRNP
-
Fareeha Khan, MD
-
Angela Kinn, P.A.-C
-
Thomas Laskow, M.D.
-
Bruce Leff, M.D.
-
Sean Leng, M.D.
-
Lisa Anne Marcinko, PAC
-
Richard Marcinko, P.A.-C
-
Matthew Kendall McNabney, M.D.
-
Esther Seunghee Oh, M.D.
-
Brian Sharkey, CRNP
-
Mfon Effiong Umoh, MD PHD
-
Sevil Yasar, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Johns Hopkins Home Health Services |
Home health agency | 5% Or Greater Indirect Ownership Interest (50%) | Jun 6, 1990 |
| Johns Hopkins Pediatrics at Home |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
| O20130530000068 | DC | Part B Supplier - Clinic/Group Practice | 8921903147 |
Receives reassigned benefits from 2 practitioners Practice locations: Washington, DC |
National Provider Directory
- Part of
- Johns Hopkins Univ Emer
Locations
5300 Alpha Commons Dr
Baltimore, MD 21224
Phone (410) 550-0477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | MD | Yes |
Addresses
Primary practice location
600 N. Wolfe Street
Baltimore, MD 21264-0001
Mailing address
PO Box 64264
Baltimore, MD 21264-4264
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055237400 | Medicaid | DC | |
| 691105600 | Medicaid | MD | |
| CD2563 | Other | MD | RRMC |
Other names
- JHU - MEDICINE/GERIATRICS
- JHU -MEDICINE/GERIATRICS
Other providers in Baltimore, MD
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All providers in Baltimore, MD · Geriatric Medicine (Internal Medicine) Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.