Organization Active NPI

Comprehensive Medical Services, LLC

  • Hospice and Palliative Medicine (Surgery) Physician
  • Baltimore, MD
National Provider Identifier
1568046837
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Surgery) PhysicianTaxonomy code 2086H0002X
Legal business name
COMPREHENSIVE MEDICAL SERVICES, LLC
Practice address
3801 Canterbury Rd Unit 711
Baltimore, MD 21218-2376
Phone
(202) 861-2971
NPI assigned
May 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Jonathan Ashely Collis Johnson, MDNPI 1992953749
Title
President
Phone
(202) 861-2971

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Hospice and Palliative Medicine (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086H0002X Primary

Addresses

Primary practice location

3801 Canterbury Rd Unit 711
Baltimore, MD 21218-2376

Mailing address

3801 Canterbury Rd Unit 711
Baltimore, MD 21218-2376
Phone (202) 861-2971

Other names 1

  • Comprehensive Medical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210712002264 GA Part B Supplier - Clinic/Group Practice 5092117135 Receives reassigned benefits from 1 practitioner
Practice locations: Winder, GA

National Provider Directory

National Provider Directory

Locations

815 NW 57th Ave
Ste 315
Miami, FL 33126

101 Theall Rd
Rye, NY 10580
Phone (516) 536-0800

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": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1568046837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CANTERBURY RD UNIT 711",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182376",
            "telephone_number": "202-861-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CANTERBURY RD UNIT 711",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182376",
            "telephone_number": "202-861-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ASHELY COLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-861-2971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 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.