Individual provider Active NPI

Alexander Kaysin, MD, MPH

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1538459482
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D84702 Issued in MD
Practice address
29 S Paca St
Baltimore, MD 21201-1771
Phone
(667) 214-1800
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D84702 MD Primary

Addresses

Primary practice location

29 S Paca St
Baltimore, MD 21201-1771

Mailing address

29 S Paca St
Baltimore, MD 21201-1771
Phone (667) 214-1800

Other identifiers 1

IdentifierTypeStateIssuer
1538459482MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180417002704 MD Practitioner - Family Practice 4284854753 Reassigns benefits to 2 organizations
I20210621000726 DC Practitioner - Family Practice 4284854753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2900 Mercy LN
Cheverly, MD 20785-1157
Phone (301) 618-2773

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. CurrentSince May 14, 2018 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jun 9, 2021 Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince May 14, 2018 Accepting new patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
Dimensions Healthcare Associates Inc CurrentSince Jun 9, 2021 Accepting new patients
Dimensions Health Corporation Past Accepting new patients
Dimensions Healthcare Associates Inc Past Accepting new patients

Locations

29 S Paca St
Baltimore, MD 21201
Phone (410) 328-2603

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

4000 Garden City Dr
Ste 810
Hyattsville, MD 20785
Phone (240) 667-3100

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

Interoperability endpoints

  • Direct secure messaging: akaysin531270@direct.umm.edu

Organizations & group practices 8

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1538459482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011771",
            "telephone_number": "667-214-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011771",
            "telephone_number": "667-214-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYSIN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D84702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538459482",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.