Individual provider Active NPI

Nicole A Shilkofski, MD

  • Pediatric Critical Care Medicine Physician
  • Baltimore, MD
National Provider Identifier
1215972385
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
D61583 Issued in MD
Practice address
1800 Orleans St
Suite 6349J
Baltimore, MD 21287-0010
Phone
(410) 905-0729
Fax
(410) 905-0729
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D61583 MD
Pediatric Critical Care Medicine Physician 2080P0203X D61583 MD Primary

Addresses

Primary practice location

1800 Orleans St
Suite 6349J
Baltimore, MD 21287-0010

Mailing address

2415 Crest Rd
Baltimore, MD 21209-4233
Phone (410) 905-0729

Other identifiers 1

IdentifierTypeStateIssuer
405249800MedicaidMD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041204000188 MD Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 7214993930 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Nov 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2015 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2015 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2020 Accepting new patients

Locations

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

600 N Wolfe St
Baltimore, MD 21287

4940 Eastern Ave
Baltimore, MD 21224

1800 Orleans St
Ste 6349J
Baltimore, MD 21287
Phone (410) 905-0729

Interoperability endpoints

  • Direct secure messaging: nshilkofski26898@direct.hopkinsmedicine.org

Organizations & group practices 5

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1215972385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 CREST RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212094233",
            "telephone_number": "410-905-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST",
            "address_2": "SUITE 6349J",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "410-905-0729",
            "fax_number": "410-905-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILKOFSKI",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D61583",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MD",
            "license": "D61583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405249800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.