Active NPI
Nicholaus Jan Christian
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D98805
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004217099 | Medicaid | CT | |
| 008102428 | Medicaid | CT |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D98805 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians, P.a. | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| Johns Hopkins University | Current | 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
- nchristian519728@direct.ynhh.org
- 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.
-
- Hospitalist Physician
- Baltimore, MD
- NPI 1902332133
-
- Addiction Medicine (Preventive Medicine) Physician
- Baltimore, MD
- NPI 1942812144
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1689623175
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Gastroenterology Physician
- Largo, MD
- NPI 1619860194
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1104877075
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.