Active NPI
Grace Agboh
- Acute Care Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R225361
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5216 - Phone
- (410) 601-9000
- NPI assigned
- Feb 16, 2016
- Last updated
- Feb 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R225361 | MD | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Mailing address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Baltimore |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, FL, PA, DC, DE, TN, WV, VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 9TH St
McKeesport, PA 15132-3952
Phone (412) 675-8600
109 Forest Valley Dr
Forest Hill, MD 21050-2831
Phone (410) 838-0101
136 Donahue Manor Rd
Bedford, PA 15522-9728
Phone (814) 623-9075
2401 W Belvedere Ave
Hospitalist Office
Baltimore, MD 21215-5216
Phone (410) 601-0594
2741 Boulevard Ave
Scranton, PA 18509-1000
Phone (570) 344-6121
2751 Boulevard Ave
Scranton, PA 18509-1000
Phone (570) 468-8410
300 Saint Luke Cir
Westminster, MD 21158-4174
Phone (410) 848-0090
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-8000
900 3Rd Ave
Beaver Falls, PA 15010-4613
Phone (724) 846-8504
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39486 | TN | MD | General Practice Physician |
| R225361 | MD | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Post Acute Specialists, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Texas Post Acute Specialists, PA | Current | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583
1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400
10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
2401 W Belvedere Ave
Baltimore, MD 21215
2401 W Belvedere Ave
Ofc
Baltimore, MD 21215
Phone (410) 601-1544
2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273
200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466
100 9th St
McKeesport, PA 15132
Phone (412) 422-6800
1000 Schuylkill Manor Rd
Pottsville, PA 17901
Phone (570) 622-9666
141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020
9825 S Jordan Gtwy
Sandy, UT 84070
1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602
Organizations & group practices 9
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1114441565
DC, DE, FL, MD, PA, TN, VA, WV
-
- Internal Medicine Physician
- Balch Springs, TX
- NPI 1609314392
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359782
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Grace Medical Center, A Sinai Hospital Facility
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1437518636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "410-601-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBOH",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MD",
"license": "R225361",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Baltimore",
"affiliation": "N",
"address_1": "2401 W Belvedere Ave",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212155216",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 20, 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.