Active NPI
Dominique W Allen, MD
- Obstetrics & Gynecology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0053109
- Practice address
- 6569 N Charles St
Suite 501
Baltimore, MD 21204-6831 - Phone
- (410) 938-8960
- Fax
- (410) 583-9770
- NPI assigned
- Aug 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0053109 | MD | Primary |
Addresses
Primary practice location
6569 N Charles St
Suite 501
Baltimore, MD 21204-6831
Mailing address
8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dominique.allen.p1@direct.cwcare.nextgenshare.com | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110323000400 | MD | Practitioner - Obstetrics/Gynecology | 6204983976 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Georgetown University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Capital Womens Care LLC
Practice addresses (Care Compare)
6565 N Charles St
Suite 501
Baltimore, MD 21204-5802
Phone (410) 938-8960
Hospital & facility affiliations
- Greater Baltimore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.1 of 100
- Quality
- 7.9
- Improvement activities
- 40
- Cost
- 79.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0053109 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Women'S Care, L.L.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Capital Women'S Care, L.L.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Past | Accepting new patients |
Locations
61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171
8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759
6569 N Charles St
Ste 501
Towson, MD 21204
Phone (410) 938-8960
6565 N Charles St
Ste 501
Towson, MD 21204
Phone (410) 828-8367
Interoperability endpoints
- dominique.allen.p1@direct.cwcare.nextgenshare.com
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.
-
- Obstetrics & Gynecology Physician
- Fulton, MD
- NPI 1679534069
MD, Obstetrics & Gynecology
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1093766289
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1255372397
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1508973223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 MAPLE LAWN BLVD STE 235",
"city": "FULTON",
"state": "MD",
"postal_code": "207592694",
"telephone_number": "301-340-8339",
"fax_number": "301-340-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6569 N CHARLES ST",
"address_2": "SUITE 501",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046831",
"telephone_number": "410-938-8960",
"fax_number": "410-583-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DOMINIQUE",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0053109",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dominique.allen.p1@direct.cwcare.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6569 N Charles St",
"address_2": "Suite 501",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212046831",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 20, 2023; 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.