Active NPI
Tiffani Marguerite Middleton, MD
- Obstetrics & Gynecology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D77232
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151MK | Other | NC | BCBS |
| 5910673 | Medicaid | NC |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-01863 | NC | MD | Specialist |
| D77232 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | 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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.