Individual provider Active NPI

Janna Van Gaalen Mudd, MD

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1568598910
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D68838 Issued in MD
Practice address
6610 Tributary St
Suite 206
Baltimore, MD 21224-6514
Phone
(410) 633-6300
Fax
(410) 633-6736
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D68838 MD Primary

Addresses

Primary practice location

6610 Tributary St
Suite 206
Baltimore, MD 21224-6514

Mailing address

6610 Tributary St
Suite 206
Baltimore, MD 21224-6514
Phone (410) 633-6300

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
I20090819000646 MD Practitioner - Obstetrics/Gynecology 9032263405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teresa Hoffman M.D. and Associates, LLCGroup PAC ID 9931154267, 12 clinicians

Practice addresses (Care Compare)

301 Saint Paul Place
Medical Staff Office
Baltimore, MD 21202-2102

301 Saint Paul St
Baltimore, MD 21202-2102

7001 Johnnycake Rd
Suite 105
Baltimore, MD 21244-2419
Phone (410) 633-6300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Paul Place Specialists , Inc. CurrentSince Aug 1, 2009 Accepting new patients
St Paul Place Specialists Inc CurrentSince Aug 1, 2009 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Teresa Hoffman M.D. and Associates, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2010 Accepting new patients
Mercy Medical Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Teresa Hoffman M.D. and Associates, LLC Obstetrics & Gynecology PastSince Sep 28, 2025 Accepting new patients

Locations

315 N Calvert St
Baltimore, MD 21202
Phone (410) 332-1092

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

7001 Johnnycake Rd
Ste 105
Windsor Mill, MD 21244
Phone (410) 633-6300

Interoperability endpoints

  • Direct secure messaging: jmudd6298@direct.mdmercy.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1568598910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 TRIBUTARY ST",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246514",
            "telephone_number": "410-633-6300",
            "fax_number": "410-633-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 TRIBUTARY ST",
            "address_2": "SUITE 206",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246514",
            "telephone_number": "410-633-6300",
            "fax_number": "410-633-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDD",
        "first_name": "JANNA",
        "middle_name": "VAN GAALEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D68838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.