Individual provider Active NPI

Doee Kitessa, MD

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1396970430
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D75818 Issued in MD
Practice address
419 W Redwood St
Suite 500
Baltimore, MD 21201-1734
Phone
(667) 214-1300
Fax
(410) 328-3379
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D75818 MD Primary

Addresses

Primary practice location

419 W Redwood St
Suite 500
Baltimore, MD 21201-1734

Mailing address

250 W Pratt St
Suite 880
Baltimore, MD 21201-2423
Phone (667) 214-1302

Other identifiers 1

IdentifierTypeStateIssuer
257411000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140911000702 MD Practitioner - Obstetrics/Gynecology 8022237734 Reassigns benefits to 1 organization
I20250109002463 GA Practitioner - Obstetrics/Gynecology 8022237734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Obstetrics & Gynecology CurrentSince Nov 12, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Nov 12, 2024 Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA Obstetrics & Gynecology CurrentSince Aug 1, 2014 Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

3807 Clairmont Rd
Chamblee, GA 30341
Phone (770) 454-1144

250 W Pratt St
Ste 880
Baltimore, MD 21201

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

Organizations & group practices 5

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 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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1396970430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W PRATT ST",
            "address_2": "SUITE 880",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012423",
            "telephone_number": "667-214-1302",
            "fax_number": "410-328-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "667-214-1300",
            "fax_number": "410-328-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITESSA",
        "first_name": "DOEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D75818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257411000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.