Active NPI
Kevin Shenderov, MD, PHD
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D88085
- Practice address
- The Johns Hopkins Hospital
600 North Wolfe Street
Baltimore, MD 21287-2109 - Phone
- (410) 955-5000
- NPI assigned
- Feb 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D88085 | MD | Primary |
Addresses
Primary practice location
The Johns Hopkins Hospital
600 North Wolfe Street
Baltimore, MD 21287-2109
Mailing address
Johns Hopkins Hospital
1800 Orleans St
Baltimore, MD 21287
Phone (410) 955-7911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D88085 | Other | MD | LICENSE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Johns Hopkins University School of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Johns Hopkins University
Practice addresses (Care Compare)
1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-4714
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
Hospital & facility affiliations
- Johns Hopkins Hospital, the
- Johns Hopkins Bayview Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
600 N Wolfe St
Baltimore, MD 21287
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
9910 Franklin Square Dr
Ste 2110
Nottingham, MD 21236
Phone (410) 933-5412
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Baltimore, MD
- NPI 1902332133
-
- Critical Care Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1689162034
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Pulmonary Disease Physician
- Baltimore, MD
- NPI 1831186808
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1407270853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JOHNS HOPKINS HOSPITAL",
"address_2": "1800 ORLEANS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-955-7911",
"fax_number": "410-955-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE JOHNS HOPKINS HOSPITAL",
"address_2": "600 NORTH WOLFE STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212872109",
"telephone_number": "410-955-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENDEROV",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-05",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D88085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "D88085",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.