Active NPI
Sara Kwiatkowski, D.O.
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1275157406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1590 - Phone
- (410) 328-8667
- NPI assigned
- Jun 3, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102207676 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1590
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
VCUHS Dept of IM Residency, 980509
1250 E. Marshall Street
Richmond, VA 23298-0509
Phone (804) 828-8786
Other practice location 2
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9357
Other practice location 3
417 N 11th St
Richmond, VA 23298-5024
Phone (804) 828-9357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1275157406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011590",
"telephone_number": "410-328-8667"
}
],
"practiceLocations": [
{
"address_1": "VCUHS Dept of IM Residency, 980509",
"address_2": "1250 E. Marshall Street",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232980509",
"country_code": "US",
"telephone_number": "804-828-8786",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-9357",
"fax_number": "804-828-7591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "417 N 11th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985024",
"country_code": "US",
"telephone_number": "804-828-9357",
"fax_number": "804-828-7591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWIATKOWSKI",
"first_name": "SARA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-03",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102207676",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"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 Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.