Michael K Hise, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D20327 Issued in MD

Practice address

22 S Greene St
Baltimore, MD 21201-1544

Phone

(410) 328-5720

Fax

(410) 328-5685

NPI assigned

May 25, 2006

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Michigan Medical School, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hollis Seunarine Mdpa LLCGroup PAC ID 4183608573, 19 clinicians

Park Heights Medical Clinic LLCGroup PAC ID 7012012651, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hollis Seunarine Mdpa LLC

  dba Jai Medical Center

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1891726378
  Medicare reassignment Care Compare group NPD
• Park Heights Medical Clinic LLC

  dba Jai Medical Center

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1639101462
  Medicare reassignment Care Compare group NPD
• University of Maryland Physicians P.a.

  dba University of Maryland Medical Group - Geographic Medicine

  • Infectious Disease Physician
  • Baltimore, MD
  • NPI 1720038540
  NPD
• University of Maryland Physicians PA

  dba University of Maryland Medical Group - Infectious Disease

  • Infectious Disease Physician
  • Baltimore, MD
  • NPI 1134179955

  Internal Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maryland General Hospital Inc

  dba University of Maryland Medical Center Midtown Campus

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1669565180
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1437105228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644442",
            "telephone_number": "410-328-5720",
            "fax_number": "410-328-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-5720",
            "fax_number": "410-328-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISE",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D20327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "351250-01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4419750",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479871600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5849314",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212134000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437105228",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aklil Hiruy
• His Keep Sake, Inc (The Agape Way)
• His Keep Sake, Inc (The Agape Way)
• His Keep Sake, Inc (The Agape Way)
• Kathleen Hise, M.D.
• Rachel Hisim, CRNP
• Nadrica Angel Hislop
• Ella Histand, RN
• Historic East Baltimore Community Action Coalition, Inc.
• Carolyn L Hite, LCSW-C

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.

Verify at the official NPI Registry.