Individual provider Active NPI

Elizabeth Adrianne Duque Hammershaimb, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1538517214
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D90491 Issued in MD
Practice address
120 Penn St
Baltimore, MD 21201-1082
Phone
(410) 328-8336
Fax
(410) 328-4379
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D90491 MD Primary

Addresses

Primary practice location

120 Penn St
Baltimore, MD 21201-1082

Mailing address

120 Penn St
Baltimore, MD 21201-1082
Phone (410) 328-8336

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
I20220920001142 MD Practitioner - Pediatric Medicine 6103158522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Drexel University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 706-5181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D90491MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatrics Assoc PA CurrentSince Oct 1, 2022 Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics Current Accepting new patients
University of Maryland Pediatric Associates, PA Pediatrics CurrentSince Oct 1, 2022 Accepting new patients

Locations

827 Linden Ave
Fl 2
Baltimore, MD 21201
Phone (443) 682-6800

120 Penn St
Baltimore, MD 21201
Phone (410) 328-8336

22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

7556 Teague Rd
Ste 420
Hanover, MD 21076
Phone (410) 328-6749

1302 Bellona Ave
Lutherville Timonium, MD 21093
Phone (410) 825-6810

Interoperability endpoints

  • Direct secure messaging: ehammershaimb640576@direct.umm.edu

Organizations & group practices 3

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1538517214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PENN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011082",
            "telephone_number": "410-328-8336",
            "fax_number": "410-328-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PENN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011082",
            "telephone_number": "410-328-8336",
            "fax_number": "410-328-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERSHAIMB",
        "first_name": "ELIZABETH",
        "middle_name": "ADRIANNE DUQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D90491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.