Active NPI
Patricia A Cudjoe, MD
- Family Medicine Physician
- Baltimore, MD
National Provider Identifier
1235526013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0086085
- Practice address
- 1501 Division St
Baltimore, MD 21217-3121 - Phone
- (410) 383-8300
- Fax
- (410) 383-3160
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0086085 | MD | Primary |
Addresses
Primary practice location
1501 Division St
Baltimore, MD 21217-3121
Mailing address
1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0086085 | MD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1235526013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 DIVISION ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212173121",
"telephone_number": "410-383-8300",
"fax_number": "410-383-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 DIVISION ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212173121",
"telephone_number": "410-383-8300",
"fax_number": "410-383-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUDJOE",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0086085",
"primary": true
}
],
"identifiers": [],
"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 Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.