Active NPI
AIDS Healthcare Foundation
- Clinic/Center
- Baltimore, MD
National Provider Identifier
1235618984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 11 E Lexington St Ste 100
Baltimore, MD 21202-1732 - Phone
- (202) 568-1706
- NPI assigned
- Aug 13, 2018
- Last updated
- Apr 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Stidham
- Title
- Chief of Managed Care
- Phone
- (323) 436-5025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
11 E Lexington St Ste 100
Baltimore, MD 21202-1732
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200513001800 | MD | Part B Supplier - Clinic/Group Practice | 2668369109 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: Baltimore, MD |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Ahf
- Infectious Disease Physician
- Baltimore, MD
- NPI 1417573981
O20200513001800
National Provider Directory
National Provider DirectoryLocations
1001 N Martel Ave
West Hollywood, CA 90046
Phone 3233379100 ext. 11364
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Temple Hills, MD
- NPI 1417022567
-
- Adult Health Nurse Practitioner
- Baltimore, MD
- NPI 1306514146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586304000000",
"number": "1235618984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "833-241-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E LEXINGTON ST STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212021732",
"telephone_number": "202-568-1706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-13",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A",
"authorized_official_last_name": "STIDHAM",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "CHIEF OF MANAGED CARE",
"authorized_official_telephone_number": "323-436-5025"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"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 Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.