Individual provider Active NPI

Martha W Stevens, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Baltimore, MD
National Provider Identifier
1194771378
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
D0044281 Issued in MD
Practice address
1800 Orleans St # G-1509
Hospital Based @ JHH-Bloomberg Children'S Center
Baltimore, MD 21287-0010
Phone
(410) 955-6146
Fax
(410) 614-7339
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X D0044281 MD Primary

Addresses

Primary practice location

1800 Orleans St # G-1509
Hospital Based @ JHH-Bloomberg Children'S Center
Baltimore, MD 21287-0010

Mailing address

1800 Orleans St # G-1509
Hospital Based @ JHH-Bloomberg Children'S Center
Baltimore, MD 21287-0010
Phone (410) 955-6146

Other identifiers 5

IdentifierTypeStateIssuer
781700401914OtherMDCCN
219021401OtherMDMEDICAID INDIVIDUAL #
766621700MedicaidMD
257368Y18OtherMDPTAN
003000261QOtherHUMANA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121119000179 MD Practitioner - Pediatric Medicine 7618079641 Reassigns benefits to 1 organization
I20201109000796 VT Practitioner - Emergency Medicine 7618079641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Vermont Medical Center IncGroup PAC ID 3779491071, 1,208 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0044281MDMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc CurrentSince Oct 1, 2020 Accepting new patients
Johns Hopkins University CurrentSince Oct 6, 2012 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Pediatric Emergency Medicine CurrentSince Oct 6, 2012 Accepting new patients

Locations

1800 Orleans St
#G1509
Baltimore, MD 21287
Phone (410) 955-6146

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Interoperability endpoints

  • Direct secure messaging: mstevens397580@direct.uvmhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1194771378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST # G-1509",
            "address_2": "HOSPITAL BASED @ JHH-BLOOMBERG CHILDREN'S CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-955-6146",
            "fax_number": "410-614-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST # G-1509",
            "address_2": "HOSPITAL BASED @ JHH-BLOOMBERG CHILDREN'S CENTER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-955-6146",
            "fax_number": "410-614-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARTHA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MD",
            "license": "D0044281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "781700401914",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL #",
            "identifier": "219021401",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766621700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "257368Y18",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "003000261Q",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.