Ebenezer Kobina Quainoo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DOO61765 Issued in MD

Practice address

3350 Wilkens Ave
Suite 307
Baltimore, MD 21229-4600

Phone

(410) 368-8317

Fax

(410) 368-8319

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Baltimore Health Care P.C

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1427073378
  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Gary a Pichney DPM

  dba Mid-Atlantic Foot & Ankle

  • Durable Medical Equipment & Medical Supplies
  • Towson, MD
  • NPI 1497932446
  NPD (past)
• SPRC, LLC

  dba Seton Pain and Rehabilitation Center

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Columbia, MD
  • NPI 1457575656
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1326033952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21068",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212280568",
            "telephone_number": "410-368-8317",
            "fax_number": "410-368-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 WILKENS AVE",
            "address_2": "SUITE 307",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294600",
            "telephone_number": "410-368-8317",
            "fax_number": "410-368-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAINOO",
        "first_name": "EBENEZER",
        "middle_name": "KOBINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "DOO61765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405216100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4147675503",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quadrant Systems LLC (eutaw pharmacy)
• Humair Syed Quadri, M.D.
• Stephanie Quaerna
• Caroline Wiley Quaglieri, MD
• Cristal Quails
• Qualitech Laboratory
• Quality Group
• Quality Life Day Services Inc
• Quality Mental Health Services LLC
• Quality Motivation

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.