Active NPI
Johns Hopkins University
Doing business as Jhu - Dermatology
- Dermatology Physician
- Baltimore, MD
National Provider Identifier
1659377323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- JOHNS HOPKINS UNIVERSITY
- Doing business as
- Jhu - Dermatology
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 933-1169
- NPI assigned
- Jun 27, 2005
- Last updated
- Jan 9, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD | Primary | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | MD | ||
| Pediatric Dermatology Physician | 207NP0225X | MD | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
PO Box 64252
Baltimore, MD 21264-4252
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080145257 | Medicaid | DC | |
| CA4935 | Other | MD | RRMC |
| 795731900 | Medicaid | MD |
Other names 1
- JHU - DERMATOLOGY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000719 | MD | Part B Supplier - Clinic/Group Practice | 8921903147 |
Receives reassigned benefits from 4,764 practitioners This NPI is an additional NPI on the enrollment |
| O20131108001260 | DC | Part B Supplier - Clinic/Group Practice | 4981745098 |
Receives reassigned benefits from 20 practitioners Practice locations: Bethesda, MD; Washington, DC |
National Provider Directory
National Provider Directory- Part of
- John Hopkins Univ
Practitioners & affiliated clinicians
Practitioners 55
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatopathology Physician
- Baltimore, MD
- NPI 1750791349
Clinical Medical Laboratory, DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1659377323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64252",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644252"
},
{
"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": "410-933-1169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNS HOPKINS UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOHNS HOPKINS UNIVERSITY",
"enumeration_date": "2005-06-27",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"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": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080145257",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "CA4935",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "795731900",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JHU - DERMATOLOGY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JHU - DERMATOLOGY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Baltimore, MD
- Johns Hopkins University (Jhu - Psychiatry)
- Johns Hopkins University (Jhu - Hospitalist/Behavioral Health)
- Johns Hopkins University (Jhu-1501 S Clinton St Ste 200-Provider Type: 20-Physician)
- Johns Hopkins University (Jhu-301 Mason Lord Dr Ste 1201-Provider Type: 20-Physician)
- Johns Hopkins University (Jhu - Pediatrics/Rheumatology)
- Johns Hopkins University (Jhu-General Peds/Behaviorial Health)
- Johns Hopkins University (Jhu-Peds Em/Behavioral Health)
- Johns Hopkins University (Jhu - 300 Mason Lord Dr - Physician Type - 20 - Physician)
- Johns Hopkins University (Jhu -4924 Campbell Blvd Ste 110 - Provider Type:20-Physician)
- Johns Hopkins University (Jhu -Medicine/Endocrinology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.