Individual provider Active NPI

Nicholaus Jan Christian

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1497276620
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D98805 Issued in MD
Practice address
4940 Eastern Avenue
Baltimore, MD 21264-5946
Phone
(410) 550-5568
Fax
(410) 550-0470
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D98805 MD Primary
Internal Medicine Physician 207R00000X 68107 CT

Addresses

Primary practice location

4940 Eastern Avenue
Baltimore, MD 21264-5946

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

1500 Red River St
UT Austin Dell Medical School Internal Medicine
Austin, TX 78701
Phone (512) 324-7000

Other practice location 2

1 Long Wharf Dr Ste 321
New Haven, CT 06511-5946
Phone (203) 781-4600

Other identifiers 2

IdentifierTypeStateIssuer
004217099MedicaidCT
008102428MedicaidCT

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
I20240801001772 MD Practitioner - Internal MedicinePractitioner - Addiction Medicine 8123442928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

1001 W Pratt St
FL 2
Baltimore, MD 21223-2679
Phone (443) 462-3400

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Hospital & facility affiliations

  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D98805MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jul 1, 2024 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians, P.a. Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2025 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Dec 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2024 Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

600 N Wolfe St
Baltimore, MD 21287

4940 Eastern Ave
Baltimore, MD 21224

1001 W Pratt St
Fl 2
Baltimore, MD 21223
Phone (443) 462-3400

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: nchristian519728@direct.ynhh.org
  • Direct secure messaging: nchristian1207218@direct.hopkinsmedicine.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1497276620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVENUE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212645946",
            "telephone_number": "410-550-5568",
            "fax_number": "410-550-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Red River St",
            "address_2": "UT Austin Dell Medical School Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78701",
            "country_code": "US",
            "telephone_number": "512-324-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Long Wharf Dr Ste 321",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065115946",
            "country_code": "US",
            "telephone_number": "203-781-4600",
            "fax_number": "203-781-4624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "NICHOLAUS",
        "middle_name": "JAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D98805",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "68107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004217099",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008102428",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.