Individual provider Active NPI

Monika Dhillon, MD

  • Nephrology Physician
  • Baltimore, MD
National Provider Identifier
1487632600
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0063540 Issued in MD
Practice address
3333 N Calvert St
Suite 585
Baltimore, MD 21218-2867
Phone
(410) 261-8532
Fax
(410) 261-8055
NPI assigned
Jan 6, 2006
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0063540 MD Primary

Addresses

Primary practice location

3333 N Calvert St
Suite 585
Baltimore, MD 21218-2867

Mailing address

21 Brett Manor CT
Hunt Valley, MD 21030-1228

Other identifiers 1

IdentifierTypeStateIssuer
019875700MedicaidMD

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
I20060227000455 MD Practitioner - NephrologyPractitioner - Internal Medicine 4587670658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Hamill Rd
Suite 272
Baltimore, MD 21210-1816
Phone (410) 261-8532

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.02 of 100Reported as group
Quality
90.06
Improvement activities
40
Cost
60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063540MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Nephrology Group, LLC Nephrology CurrentSince Jun 1, 2011 Accepting new patients

Locations

2 Hamill Rd
Ste 272
Baltimore, MD 21210
Phone (410) 261-8532

3333 N Calvert St
Ste 585
Baltimore, MD 21218
Phone (410) 261-8532

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1487632600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRETT MANOR CT",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "SUITE 585",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-261-8532",
            "fax_number": "410-261-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0063540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019875700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.