Individual provider Active NPI

Tiffani Marguerite Middleton, MD

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1447435227
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D77232 Issued in MD
Practice address
1576 Merritt Blvd
Ste 16
Baltimore, MD 21222-2132
Phone
(410) 650-2191
Fax
(410) 288-4567
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 2008-01863 NC
Specialist 174400000X 2008-01863 NC
Obstetrics & Gynecology Physician 207V00000X D77232 MD Primary

Addresses

Primary practice location

1576 Merritt Blvd
Ste 16
Baltimore, MD 21222-2132

Mailing address

1576 Merritt Blvd
Ste 16
Baltimore, MD 21222-2132
Phone (410) 650-2191

Other identifiers 2

IdentifierTypeStateIssuer
151MKOtherNCBCBS
5910673MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140509000060 MD Practitioner - Obstetrics/Gynecology 8426216136 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-01863NCMDSpecialist
D77232MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

12 Medstar Blvd
Ste 125
Bel Air, MD 21015

12 Medstar Blvd
Ste 235
Bel Air, MD 21015
Phone (410) 877-8088

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

1576 Merritt Blvd
Dundalk, MD 21222
Phone (410) 650-2000

1576 Merritt Blvd
Ste 16
Dundalk, MD 21222
Phone (410) 650-2191

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

9110 Philadelphia Rd
Ste 200
Rosedale, MD 21237
Phone (410) 282-7600

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1447435227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD",
            "address_2": "STE 16",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222132",
            "telephone_number": "410-650-2191",
            "fax_number": "410-288-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD",
            "address_2": "STE 16",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212222132",
            "telephone_number": "410-650-2191",
            "fax_number": "410-288-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "TIFFANI",
        "middle_name": "MARGUERITE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NC",
            "license": "2008-01863",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2008-01863",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D77232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "151MK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910673",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.