Active NPI
Johns Hopkins University
- Pediatric Rheumatology Physician
- Baltimore, MD
National Provider Identifier
1659368181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- Legal business name
- JOHNS HOPKINS UNIVERSITY
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 933-1182
- NPI assigned
- Sep 30, 2005
- Organization subpart
- Yes
- Parent organization
- JOHNS HOPKINS UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shavonda L Keating
- Title
- Sr Production Unit MGR
- Phone
- (410) 933-6430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rheumatology Physician | 2080P0216X | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
PO Box 64316
Baltimore, MD 21264-4316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76621702 | Medicaid | MD | |
| CD6085 | Other | MD | RRMC |
Other names 1
- JHU - PEDIATRICS/RHEUMATOLOGY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Johns Hopkins Univ Emer
- Part of
- Johns Hopkins Univ Emer
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Internal Medicine Physician
- Hagerstown, MD
- NPI 1639039548
-
- Optometrist
- Odenton, MD
- NPI 1639039613
-
- Addiction Medicine (Family Medicine) Physician
- Baltimore, MD
- NPI 1639049976
-
- Podiatrist
- Baltimore, MD
- NPI 1649125667
-
- Internal Medicine Physician
- Lutherville Timonium, MD
- NPI 1649130485
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1649130535
-
- Pediatric Gastroenterology Physician
- Baltimore, MD
- NPI 1649267170
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1649626565
-
- Hospitalist Physician
- Baltimore, MD
- NPI 1649754607
-
- Internal Medicine Physician
- Lutherville Timonium, MD
- NPI 1659215952
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1659226652
-
- Neurology Physician
- Baltimore, MD
- NPI 1659231801
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Baltimore, MD
- NPI 1144261124
-
- Pediatric Rheumatology Physician
- Baltimore, MD
- NPI 1740676568
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1619401080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1659368181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64316",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-933-1182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNS HOPKINS UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOHNS HOPKINS UNIVERSITY",
"enumeration_date": "2005-09-30",
"last_updated": "2022-07-21",
"certification_date": "2021-03-07",
"status": "A",
"authorized_official_last_name": "KEATING",
"authorized_official_first_name": "SHAVONDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SR PRODUCTION UNIT MGR",
"authorized_official_telephone_number": "410-933-6430"
},
"taxonomies": [
{
"code": "2080P0216X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76621702",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "CD6085",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JHU - PEDIATRICS/RHEUMATOLOGY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JHU - PEDIATRICS/RHEUMATOLOGY",
"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 Jul 21, 2022; 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.