Individual provider Active NPI

Alan J Romanoski, MD

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1568490365
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D21593 Issued in MD
Practice address
600 N Wolfe St
Meyer Psychiatry, Room 144
Baltimore, MD 21287-0005
Phone
(410) 955-2018
Fax
(410) 955-5795
NPI assigned
Jun 29, 2006
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D21593 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Meyer Psychiatry, Room 144
Baltimore, MD 21287-0005

Mailing address

PO Box 64260
Baltimore, MD 21264-4260
Phone (410) 847-3770

Other identifiers 1

IdentifierTypeStateIssuer
356651000MedicaidMD

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
I20100707000105 MD Practitioner - Psychiatry 9537290614 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D21593MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince May 5, 2010 Accepting new patients
Johns Hopkins University Psychiatry CurrentSince May 5, 2010 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

600 N Wolfe St
Rm 144
Baltimore, MD 21287
Phone (410) 955-2018

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1568490365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64260",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644260",
            "telephone_number": "410-847-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "address_2": "MEYER PSYCHIATRY, ROOM 144",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-2018",
            "fax_number": "410-955-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOSKI",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D21593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356651000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.