Individual provider Active NPI

Patrick Allen

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1578106985
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
620 W Lexington St
Baltimore, MD 21201-1508
Phone
(410) 706-3100
NPI assigned
Oct 18, 2019
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

620 W Lexington St
Baltimore, MD 21201-1508

Mailing address

14965 Frederick Rd Apt a
Woodbine, MD 21797-8619
Phone (443) 388-2656

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201002759 MD Practitioner - Physician Assistant 4981018074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

193 Stoner Ave
Suite 220
Westminster, MD 21157-6881
Phone (410) 876-3380

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

2401 E Belvedere Ave
Baltimore, MD 21215-5216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Dec 16, 2020 Accepting new patients
Carroll Health Group, LLC CurrentSince Sep 27, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Dec 16, 2020 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5415 Old Court Rd
Ste S04
Randallstown, MD 21133
Phone (410) 701-4437

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Organizations & group practices 5

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.

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1578106985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14965 FREDERICK RD APT A",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978619",
            "telephone_number": "443-388-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W LEXINGTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011508",
            "telephone_number": "410-706-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.