Organization Active NPI

Patricia L Schmoke, M.D, P.a

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1528242948
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DOO22630 Issued in MD
Legal business name
PATRICIA L SCHMOKE, M.D, P.A
Practice address
2401 Liberty Heights Ave
Suite 1080
Baltimore, MD 21215-8019
Phone
(410) 669-2020
Fax
(410) 669-1795
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Dr. Patricia Locks Schmoke, M.DNPI 1548236656
Title
Ophthalmologist
Phone
(410) 669-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X DOO22630 MD Primary

Addresses

Primary practice location

2401 Liberty Heights Ave
Suite 1080
Baltimore, MD 21215-8019

Mailing address

2401 Liberty Heights Ave
Suite 1080
Baltimore, MD 21215-8019
Phone (410) 669-2020

Other identifiers 6

IdentifierTypeStateIssuer
207722100MedicaidMD
T7640001OtherMDBLUE CROSS FEDERAL
18002037OtherMDRAIL ROAD MEDICARE
2579046OtherMDAETNA
256981700MedicaidMD
36109002OtherMDBLUE CROSS MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326001014 MD Part B Supplier - Clinic/Group Practice 3072699354 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

2401 Liberty Heights Ave
#1080
Baltimore, MD 21215
Phone (410) 669-2020

2401 Liberty Heights Ave
Ste 1080
Baltimore, MD 21215
Phone (410) 578-1515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1528242948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LIBERTY HEIGHTS AVE",
            "address_2": "SUITE 1080",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158019",
            "telephone_number": "410-669-2020",
            "fax_number": "410-669-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LIBERTY HEIGHTS AVE",
            "address_2": "SUITE 1080",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158019",
            "telephone_number": "410-669-2020",
            "fax_number": "410-669-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA L SCHMOKE, M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "SCHMOKE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LOCKS",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "410-669-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "DOO22630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207722100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEDERAL",
            "identifier": "T7640001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "18002037",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2579046",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256981700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MARYLAND",
            "identifier": "36109002",
            "state": "MD"
        }
    ],
    "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 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.