NPIMap

Individual provider Active NPI

Monica Stallworth-Kolimas, M.D., M.A., MPH, MM

  • Family Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1609800374
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD468336 Issued in PA
Practice address
1500 Pennsylvania Ave
Hagerstown, MD 21742-3112
Phone
(301) 745-4748
Fax
(301) 745-4789
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 216220 MA
Special Hospital 284300000X D0052781 MD
Family Medicine Physician 207Q00000X MD468336 PA Primary

Addresses

Primary practice location

1500 Pennsylvania Ave
Hagerstown, MD 21742-3112

Mailing address

1500 Pennsylvania Ave
Hagerstown, MD 21742-3112
Phone (301) 745-4748

Other practice location 1

761 5th Ave Ste D
Chambersburg, PA 17201-4210
Phone (717) 261-1269

Other names 1

  • Monica Stallworth Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstallworth217659@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180315000521 TX Practitioner - Family Practice 5193756922 Reassigns benefits to 1 organization
I20200418000157 PA Practitioner - Family Practice 5193756922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mayo Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

761 5TH Ave
Suite D
Chambersburg, PA 17201-4210
Phone (717) 261-1269

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216220MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 3, 2018 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Family Medicine CurrentSince Apr 22, 2020 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Apr 22, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2021 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Rosebud Indian Health Service CurrentSince Feb 3, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients
Rehabilitation Medical Associates, P.C. PastSince May 26, 2024 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Past Accepting new patients

Locations

435 Phoenix Dr
Ste A
Chambersburg, PA 17201
Phone (717) 264-6185

761 5th Ave
Ste D
Chambersburg, PA 17201
Phone (717) 232-4567

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

845 Fishburn Rd
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

Interoperability endpoints

  • Direct secure messaging: mstallworth304404@upmc.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1609800374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423112",
            "telephone_number": "301-745-4748",
            "fax_number": "301-745-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PENNSYLVANIA AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423112",
            "telephone_number": "301-745-4748",
            "fax_number": "301-745-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "761 5th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014210",
            "country_code": "US",
            "telephone_number": "717-261-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLWORTH-KOLIMAS",
        "first_name": "MONICA",
        "credential": "M.D., M.A., MPH, MM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "216220",
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "MD",
            "license": "D0052781",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD468336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstallworth217659@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "761 5th Ave Ste D",
            "city": "Chambersburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "172014210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "STALLWORTH",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.