Active NPI
Elizabeth Winans Tucker, M.D.
- Pediatric Critical Care Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- D0074110
- Practice address
- 1800 Orleans St
Baltimore, MD 21287-0010 - Phone
- (410) 955-9408
- Fax
- (410) 955-9850
- NPI assigned
- Apr 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME124774 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | D0074110 | MD | Primary |
Addresses
Primary practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
1800 Orleans St Ofc 6346
Baltimore, MD 21287-0010
Phone (410) 955-9408
Other practice location 1
501 6th Ave S
St Petersburg, FL 33701-4634
Phone (727) 898-7451
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
- Pediatric Medicine
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124774 | FL | MD | Pediatric Critical Care Medicine Physician |
| D0074110 | MD | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| The Johns Hopkins Hospital | Past | Accepting new patients |
Locations
1800 Orleans St
Ofc 6346
Baltimore, MD 21287
600 N Wolfe St
Baltimore, MD 21287
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
Interoperability endpoints
- etucker150153@direct.hopkinsmedicine.org
Organizations & group practices 4
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Critical Care Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1881694453
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508009291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 ORLEANS ST OFC 6346",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870010",
"telephone_number": "410-955-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ORLEANS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870010",
"telephone_number": "410-955-9408",
"fax_number": "410-955-9850"
}
],
"practiceLocations": [
{
"address_1": "501 6th Ave S",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337014634",
"country_code": "US",
"telephone_number": "727-898-7451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "ELIZABETH",
"middle_name": "WINANS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME124774",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MD",
"license": "D0074110",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; 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.