NPIMap

Individual provider Active NPI

Virginie Chebou-Ngantchon, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1194764514
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0063381 Issued in MD
Practice address
2200 Kernan Dr
Baltimore, MD 21207-6665
Phone
(410) 448-2500
NPI assigned
Jun 5, 2006
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0063381 MD Primary

Addresses

Primary practice location

2200 Kernan Dr
Baltimore, MD 21207-6665

Mailing address

16104 Asa Dr
Spencerville, MD 20868-9736
Phone (301) 476-7311

Other identifiers 1

IdentifierTypeStateIssuer
006048900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051027000129 MD Practitioner - Internal Medicine 9436176609 Reassigns benefits to 3 organizations
I20170324001255 DC Practitioner - Internal Medicine 9436176609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics Rehabilitative Services - Ltcaco LLCGroup PAC ID 8426556267, 13 clinicians

Practice addresses (Care Compare)

2700 Southaven Rd
Annapolis, MD 21401-7122
Phone (443) 949-0814

3939 Penhurst Ave
Baltimore, MD 21215-5632
Phone (410) 664-9535

725 Mount Wilson LN
Pikesville, MD 21208-1105
Phone (410) 484-7300

9211 Stuart LN
Clinton, MD 20735-2712
Phone (443) 949-0814

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0063381MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services - Ltcaco LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Mdics Rehabilitative Services LLC Internal Medicine CurrentSince Jan 17, 2017 Accepting new patients
Mdics at Civista LLC CurrentSince Jan 17, 2017 Accepting new patients
Randallstown Nursing & Rehab LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Holly Hill Nursing, LLC Past Accepting new patients

Locations

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

1500 Pennsylvania Ave
Hagerstown, MD 21742
Phone (301) 745-4200

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

4511 Robosson Rd
Randallstown, MD 21133
Phone (410) 922-2423

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1194764514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16104 ASA DR",
            "city": "SPENCERVILLE",
            "state": "MD",
            "postal_code": "208689736",
            "telephone_number": "301-476-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076665",
            "telephone_number": "410-448-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEBOU-NGANTCHON",
        "first_name": "VIRGINIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006048900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.