Individual provider Active NPI

Abby Nicole Zalucki, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1376239061
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008955 Issued in MD
Practice address
2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746
Phone
(410) 377-8900
Fax
(410) 377-0576
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008955 MD Primary

Addresses

Primary practice location

2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746

Mailing address

2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746
Phone (410) 377-8900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907001234 MD Practitioner - Physician Assistant 7719341981 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0008955MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Oct 9, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Oct 1, 2024 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2024 Accepting new patients
Johns Hopkins University CurrentSince Mar 1, 2024 Accepting new patients
St Agnes Healthcare Inc Physician Assistant CurrentSince Oct 9, 2023 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

2700 Quarry Lake Dr
Ste 300
Baltimore, MD 21209

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1312 Bellona Ave
Ste 302
Lutherville Timonium, MD 21093
Phone (301) 637-8712

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

4 Park Center Ct
Ste 102
Owings Mills, MD 21117
Phone (410) 377-3484

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11237/brand/1/csg/1/fhir/r4
  • Direct secure messaging: azalucki1056693@direct.hopkinsmedicine.org

Organizations & group practices 9

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1376239061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093746",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093746",
            "telephone_number": "410-377-8900",
            "fax_number": "410-377-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALUCKI",
        "first_name": "ABBY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.