Individual provider Active NPI

Cecilia Callahan, MD

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1528098464
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0053472 Issued in MD
Practice address
5601 Loch Raven Blvd
Baltimore, MD 21239-2905
Phone
(410) 751-5028
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0053472 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Baltimore, MD 21239-2905

Mailing address

PO Box 65033
Baltimore, MD 21264-5033
Phone (517) 787-6440

Other practice location 1

515 Fairmount Ave Ste 100A
Towson, MD 21286-8520
Phone (410) 494-1315

Other identifiers 1

IdentifierTypeStateIssuer
522001700MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cecilia.callahan.p2@direct.clinicalassociates.nextgenshare.com

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
I20080502000314 MD Practitioner - Anesthesiology 5193804151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
80.72
Promoting interoperability
79
Improvement activities
40
Cost
76.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053472MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Associates PA CurrentSince Jan 1, 2019 Accepting new patients
Clinical Associates P a CurrentSince Jan 1, 2019 Accepting new patients
Hunt Valley Anesthesia Associates, PA Past Accepting new patients
Clinical Associates P a Past Accepting new patients

Locations

1838 Greene Tree Rd
Ste 135
Pikesville, MD 21208
Phone (443) 471-0460

515 Fairmount Ave
Ste 100
Towson, MD 21286
Phone (410) 321-8005

515 Fairmount Ave
Ste 100A
Towson, MD 21286
Phone (410) 494-1315

Interoperability endpoints

  • Direct secure messaging: cecilia.callahan.p2@direct.clinicalassociates.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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1528098464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65033",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212645033",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-751-5028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Fairmount Ave Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212868520",
            "country_code": "US",
            "telephone_number": "410-494-1315",
            "fax_number": "410-584-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0053472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522001700",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cecilia.callahan.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "515 Fairmount Ave Ste 100A",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212868520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.