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Baltimore Medical System Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Baltimore, MD

NPI 1396366308 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1396366308
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
BALTIMORE MEDICAL SYSTEM INC
Practice address
1000 E Eager St
Baltimore, MD 21202-5533
Phone
(410) 522-9800
NPI assigned
Apr 30, 2020
Reactivated
Jun 1, 2023
Organization subpart
No

Authorized official

Name
Shirley Sutton
Title
President/Ceo
Phone
(410) 558-4891

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 86

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Federally qualified health center certification: CCN 211931

Legal name
BALTIMORE MEDICAL SYSTEM, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 15, 2020
Last certification
May 15, 2020
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Jul 1, 1985 in MD
Enrollment address
1000 E Eager St
Baltimore, MD 21202-5533

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shirley Sutton
Individual 		Corporate Officer
Chief Executive Officer		 Mar 1, 2015
Allison Mackenzie
Individual 		Corporate Officer
Board Member		 Jul 27, 2015
Sarah Norman
Individual 		Corporate Officer
Board Member		 Feb 25, 2013
Yolanda Copeland
Individual 		Corporate Officer
Board Member		 Dec 19, 2016
Christopher Demarco
Individual 		Corporate Officer
Board Member		 Jan 1, 2018
Cheryl Bryant
Individual 		Corporate Officer
Board Member		 Aug 24, 2015
Rebecca Dawson
Individual 		W-2 Managing Employee
Revenue Cycle Manager		 Jan 1, 2021
Margaret Boemmel
Individual 		Operational/Managerial Control
Cfo		 Dec 16, 2019
Scarlett Watson
Individual 		Corporate Officer
Board Member		 May 1, 2015
Michael Banfield
Individual 		Corporate Officer
Board Member		 Jan 23, 2017
David Sheehy
Individual 		Corporate Officer
Board Member		 Mar 26, 2012
Arif Khan
Individual 		Corporate Officer
Board Member		 Dec 19, 2016
Christina McWilliams
Individual 		Corporate Officer
Board Member		 Aug 24, 2015

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200514000823 MD Part a Provider - Federally Qualified Health Center (FQHC) 5395653455 Practice locations: Baltimore, MD

National Provider Directory

Tax ID family
Baltimore Medical System Inc (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

1000 E Eager St
Baltimore, MD 21202-5533

Mailing address

5525 Eastern Ave Ste 301
Baltimore, MD 21224-2796
Phone (410) 558-4890

Other names

  • East Baltimore Medical Center Other name

Other providers in Baltimore, MD

All providers in Baltimore, MD · Federally Qualified Health Center (FQHC) in Maryland

Sources for this page

Verify at the official NPI Registry.