Individual provider Active NPI

John Loh

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1306852827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0035593 Issued in MD
Practice address
1124 Mace Ave
Baltimore, MD 21221-3315
Phone
(410) 391-6996
Fax
(410) 687-6877
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 H0035593 MD Primary

Addresses

Primary practice location

1124 Mace Ave
Baltimore, MD 21221-3315

Mailing address

1124 Mace Ave
Baltimore, MD 21221-3315
Phone (410) 391-6996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000276 MD Practitioner - Internal Medicine 2062573819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mace Medical LLCGroup PAC ID 8123308020, 15 clinicians

Practice addresses (Care Compare)

1124 Mace Ave
Baltimore, MD 21221-3315
Phone (410) 391-6996

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0035593MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mace Medical LLC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2800 Sollers Point Rd
Dundalk, MD 21222
Phone (410) 391-6996

1124 Mace Ave
Essex, MD 21221
Phone (410) 391-6996

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHCFBA

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306852827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 MACE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212213315",
            "telephone_number": "410-391-6996",
            "fax_number": "410-687-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 MACE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212213315",
            "telephone_number": "410-391-6996",
            "fax_number": "410-687-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOH",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0035593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.