Individual provider Active NPI

Carey Jae Olan, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1124826417
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009820 Issued in MD
Practice address
800 Linden Ave FL 8
Baltimore, MD 21201-4622
Phone
(443) 682-6800
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 C0009820 MD Primary

Addresses

Primary practice location

800 Linden Ave FL 8
Baltimore, MD 21201-4622

Mailing address

3716 Elm Ave Apt 4
Baltimore, MD 21211-2275
Phone (301) 461-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250408003935 MD Practitioner - Physician Assistant 2466976709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544

22 S Greene Stre
Med Ctr GCRC Office
Baltimore, MD 21201-1544
Phone (410) 328-7877

827 Linden Ave
Baltimore, MD 21201-4606

Hospital & facility affiliations

  • University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0009820MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. CurrentSince May 1, 2025 Accepting new patients
University of Maryland Physicians P.a. CurrentSince May 1, 2025 Accepting new patients

Locations

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

800 Linden Ave
Fl 8
Baltimore, MD 21201
Phone (443) 682-6800

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

22 S Greene St
#N6W40
Baltimore, MD 21201

800 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8301

Interoperability endpoints

  • Direct secure messaging: colan1246189@direct.umm.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1124826417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 ELM AVE APT 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112275",
            "telephone_number": "301-461-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LINDEN AVE FL 8",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014622",
            "telephone_number": "443-682-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAN",
        "first_name": "CAREY",
        "middle_name": "JAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.