Individual provider Active NPI

Avital Lehmann, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1669609822
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006462 Issued in MD
Practice address
6614 Pebble Brooke Rd
Baltimore, MD 21209-3835
Phone
(443) 377-3102
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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 C0006462 MD Primary

Addresses

Primary practice location

6614 Pebble Brooke Rd
Baltimore, MD 21209-3835

Mailing address

6614 Pebble Brooke Rd
Baltimore, MD 21209-3835

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
I20171204001501 MD Practitioner - Physician Assistant 1557550969 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544

22 S Greene Stre
Med Ctr GCRC Office
Baltimore, MD 21201-1544
Phone (410) 328-7877

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0006462MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Oct 17, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Oct 17, 2017 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Feb 1, 2023 Accepting new patients
Bay East Endocrinology Associates PA Current Accepting new patients
University of Maryland Physicians P.a. CurrentSince Feb 1, 2023 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

7620 York Rd
Towson, MD 21204
Phone (410) 337-2688

6535 N Charles St
Ste 400
Towson, MD 21204
Phone (410) 828-7417

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: alehmann484753@direct.umm.edu

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1669609822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 PEBBLE BROOKE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 PEBBLE BROOKE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093835",
            "telephone_number": "443-377-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMANN",
        "first_name": "AVITAL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.