Individual provider Active NPI

John Harney, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1235272121
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0021716 Issued in MD
Practice address
4000 Annapolis Rd
Suite 202
Baltimore, MD 21227-3600
Phone
(410) 636-9999
Fax
(410) 636-6152
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 D0021716 MD Primary

Addresses

Primary practice location

4000 Annapolis Rd
Suite 202
Baltimore, MD 21227-3600

Mailing address

4000 Annapolis Rd
Suite 202
Baltimore, MD 21227-3600
Phone (410) 636-9999

Other identifiers 12

IdentifierTypeStateIssuer
02238011OtherUNITED HEALTHCARE MA
M10796OtherCDS NUMBER
P1024AOtherCOVENTRY
07273OtherAMERIGROUP
505807OtherUS HEALTH
D0021716OtherLICENSE NUMBER
E2600001OtherBLUE CHOICE
5093453OtherAETNA
1378470ROtherFIRST HEALTH
813596OtherMAMSI OPT CHS MDIPA
000157156 0400181OtherUNITED HEALTHCARE
K697HAOtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0021716MDMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235272121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD",
            "address_2": "SUITE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273600",
            "telephone_number": "410-636-9999",
            "fax_number": "410-636-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ANNAPOLIS RD",
            "address_2": "SUITE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273600",
            "telephone_number": "410-636-9999",
            "fax_number": "410-636-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNEY",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0021716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE MA",
            "identifier": "02238011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS NUMBER",
            "identifier": "M10796",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "P1024A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "07273",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH",
            "identifier": "505807",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "D0021716",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "E2600001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5093453",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1378470R",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI OPT CHS MDIPA",
            "identifier": "813596",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "000157156 0400181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K697HA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.