Individual provider Active NPI

Alicia Celeste Morgan-Cooper, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1275577439
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D55808 Issued in MD
Practice address
1 E University Pkwy
Suite 109
Baltimore, MD 21218-2451
Phone
(410) 235-1601
Fax
(410) 467-6881
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0055808 MD
Pediatrics Physician 208000000X D55808 MD Primary

Addresses

Primary practice location

1 E University Pkwy
Suite 109
Baltimore, MD 21218-2451

Mailing address

1 E University Pkwy
Suite 109
Baltimore, MD 21218-2451
Phone (410) 235-1601

Other identifiers 2

IdentifierTypeStateIssuer
D0055808OtherMDMD MEDICAL LICENSE NO.
204100600MedicaidMD

Other names 1

  • Holly Musgrove Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150807013752 MD Practitioner - Pediatric Medicine 2668786468 Reassigns benefits to 2 organizations
I20150807014078 DC Practitioner - Pediatric Medicine 2668786468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Pennsylvania State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Community Pediatrics LLCGroup PAC ID 6901023167, 2 clinicians

Practice addresses (Care Compare)

849 Fairmount Ave
Suite 100a
Towson, MD 21286-2600
Phone (410) 494-1369

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0055808MDMDSpecialist
D55808MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 22, 2015 Accepting new patients
Privia Medical Group, LLC Pediatrics CurrentSince Jul 22, 2015 Accepting new patients
Lifebridge Community Pediatrics, LLC Pediatrics CurrentSince Jun 20, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Yardmore Emergency Physicians LLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

2401 W Belvedere Ave
Baltimore, MD 21215

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

10084 Reisterstown Rd
Ste 200B
Owings Mills, MD 21117
Phone (410) 526-7993

849 Fairmount Ave
Ste 100A
Towson, MD 21286
Phone (410) 494-1369

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1275577439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E UNIVERSITY PKWY",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182451",
            "telephone_number": "410-235-1601",
            "fax_number": "410-467-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E UNIVERSITY PKWY",
            "address_2": "SUITE 109",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182451",
            "telephone_number": "410-235-1601",
            "fax_number": "410-467-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN-COOPER",
        "first_name": "ALICIA",
        "middle_name": "CELESTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0055808",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D55808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD  MEDICAL LICENSE NO.",
            "identifier": "D0055808",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204100600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "MUSGROVE",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.