NPIMap

Organization Active NPI

Baltimore Medical System, Inc.

Doing business as BMS@Yard56

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
National Provider Identifier
1164138152
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BALTIMORE MEDICAL SYSTEM, INC.
Doing business as
BMS@Yard56
Practice address
5525 Eastern Ave Ste 201
Baltimore, MD 21224-2796
Phone
(410) 558-4084
NPI assigned
Jan 24, 2023
Reactivated
Jun 1, 2023
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Shirley Sutton
Title
President/Ceo
Phone
(410) 558-4891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

5525 Eastern Ave Ste 201
Baltimore, MD 21224-2796

Mailing address

5525 Eastern Ave Ste 301
Baltimore, MD 21224-2796
Phone (410) 558-4804

Other names 1

  • BMS@Yard56 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031121000651 MD Part B Supplier - Clinic/Group Practice 5395653455 Receives reassigned benefits from 244 practitioners
1 other NPI on this enrollment
Practice locations: Baltimore, MD
O20240808000033 MD Part A Provider - Federally Qualified Health Center (FQHC) 5395653455 Practice locations: Baltimore, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164138152. Details of each certification follow.

Federally qualified health center certification: CCN 211162

Legal name
BALTIMORE MEDICAL SYSTEM, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 6, 2024
Last certification
Sep 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1985 in MD
Enrollment address
5525 Eastern Ave
Ste 201
Baltimore, MD 21224-2796

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3120 Erdman Ave
Baltimore, MD 21213
Phone (410) 558-4800

4000 Annapolis Rd
Baltimore, MD 21227
Phone (410) 789-0551

1000 Stewart Ave
Glen Burnie, MD 21061

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shirley Sutton Individual Corporate OfficerCeo Mar 1, 2015
Rebecca Dawson Individual W-2 Managing EmployeeRevenue Cycle Manager Feb 11, 2013
Margaret Boemmel Individual Operational/Managerial ControlCfo Dec 16, 2019
Scarlett Watson Individual Corporate OfficerBoard Member May 1, 2015
Christina McWilliams Individual Corporate OfficerBoard Member Aug 24, 2015

Practitioners & affiliated clinicians

Practitioners 245

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 245

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1164138152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 EASTERN AVE STE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242796",
            "telephone_number": "410-558-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 EASTERN AVE STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242796",
            "telephone_number": "410-558-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE MEDICAL SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-09-02",
        "certification_date": "2024-02-27",
        "deactivation_date": "2023-05-13",
        "reactivation_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "410-558-4891"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMS@Yard56",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.