NPIMap

Individual provider Active NPI

Tianyun Jiang

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1376887919
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004893 Issued in MD
Practice address
6701 N Charles St
Baltimore, MD 21204-6808
Phone
(443) 849-2000
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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 C0004893 MD Primary

Addresses

Primary practice location

6701 N Charles St
Baltimore, MD 21204-6808

Mailing address

6701 N Charles St
Baltimore, MD 21204-6808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130204000386 MD Practitioner - Physician Assistant 0547414393 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Medical Group LLCGroup PAC ID 0749644177, 102 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-1230

613 Hammonds LN
Brooklyn Park, MD 21225-3351
Phone (410) 636-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0004893MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Group LLC CurrentSince Dec 29, 2025 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Aug 21, 2018 Accepting new patients
Johns Hopkins University CurrentSince Jul 21, 2019 Accepting new patients
University of Maryland Physicians P.a. CurrentSince May 1, 2023 Accepting new patients
University of Maryland Physicians P.a. CurrentSince May 1, 2023 Accepting new patients
Johns Hopkins University CurrentSince Jul 21, 2019 Accepting new patients
Synergy Medical Group LLC CurrentSince Dec 29, 2025 Accepting new patients
University of Maryland Oncology Associates, PA CurrentSince Jun 24, 2021 Accepting new patients
Ez Primed LLC Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

5215 W Cedar Ln
Bethesda, MD 20814
Phone (301) 530-1600

613 Hammonds Ln
Brooklyn Park, MD 21225
Phone (410) 350-8514

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031

509 E Joppa Rd
Towson, MD 21286
Phone (301) 772-0484

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: tjiang538198@direct.umm.edu

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

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": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1376887919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "443-849-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "TIANYUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.