Individual provider Active NPI

Fernando Porter, MD

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1669785770
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
74304 Issued in CT
Practice address
6317 York Rd
Baltimore, MD 21212-2359
Phone
(443) 777-6890
Fax
(410) 433-2015
NPI assigned
Jul 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD041226 DC
Family Medicine Physician 207Q00000X ME129376 FL
Family Medicine Physician 207Q00000X 74304 CT Primary
Family Medicine Physician 207Q00000X D0075725 MD

Addresses

Primary practice location

6317 York Rd
Baltimore, MD 21212-2359

Mailing address

6317 York Rd
Baltimore, MD 21212-2359
Phone (443) 777-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA, FL, TX, GA, MT, TN, WA, OH10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20131030000213 DC Practitioner - Family Practice 0941435986 Reassigns benefits to 3 organizations
I20140402001765 MD Practitioner - Family Practice 0941435986 Reassigns benefits to 3 organizations
I20190906001016 VA Practitioner - Family Practice 0941435986 Reassigns benefits to 1 organization
I20200514002284 FL Practitioner - Family Practice 0941435986 Reassigns benefits to 1 organization
I20200521001718 TX Practitioner - Family Practice 0941435986 Reassigns benefits to 2 organizations
I20200805001872 GA Practitioner - Family Practice 0941435986 Reassigns benefits to 1 organization
I20221116000501 MT Practitioner - Family Practice 0941435986 Reassigns benefits to 1 organization
I20230831003908 TN Practitioner - Family Practice 0941435986 Reassigns benefits to 1 organization
I20240605001931 WA Practitioner - Family Practice 0941435986 Reassigns benefits to 1 organization
I20240624000678 OH Practitioner - Family Practice 0941435986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

1145 19TH St NW
Suite 501
Washington, DC 20036-3741
Phone (202) 745-0201

1200 Binz St
Suite 1490
Houston, TX 77004-6946
Phone (713) 512-7700

12014 Georgia Ave
Silver Spring, MD 20902-2004
Phone (301) 337-2004

12150 Annapolis Rd
Glenn Dale, MD 20769-9183

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

3300 S Fiske Blvd
BLDG a
Rockledge, FL 32955-4306
Phone (321) 434-5055

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 4000
Arlington, VA 22203-1824

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74304CTMDFamily Medicine Physician
MD041226DCMDFamily Medicine Physician
D0075725MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Jan 6, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 7, 2019 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 26, 2020 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Jan 6, 2024 Accepting new patients
Medstar Urgent Care LLC CurrentSince Aug 13, 2013 Accepting new patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Walla Walla Clinic, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince May 26, 2020 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince May 17, 2020 Accepting new patients
Privia Care Center LLC CurrentSince Apr 3, 2024 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Jul 7, 2019 Accepting new patients
Walla Walla Clinic, Inc. Current Accepting new patients
Oh Independent Medical Group LLC Family Medicine CurrentSince May 23, 2024 Accepting new patients
Privia Medical Group Washington, PLLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Privia Medical Group Tennessee LLC Family Medicine CurrentSince Jul 23, 2023 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Oh Independent Medical Group LLC CurrentSince May 23, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Dec 29, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Jul 23, 2023 Accepting new patients
Medstar Urgent Care LLC CurrentSince Aug 13, 2013 Accepting new patients
Great Falls Clinic LLC CurrentSince Oct 9, 2022 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations (25 of 27)

1145 19th St NW
Ste 200
Washington, DC 20036
Phone (202) 887-0660

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 262-7414

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

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

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

3430 Ohiohealth Pkwy
Columbus, OH 43202
Phone (614) 533-5493

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1 Vantage Way
Ste C240
Nashville, TN 37228
Phone (833) 973-3648

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Interoperability endpoints

  • Direct secure messaging: fernando.porter.3@25094.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: fernando.porter.1@27673.direct.athenahealth.com
  • Direct secure messaging: fernando.porter.1@25095.direct.athenahealth.com
  • Direct secure messaging: fernando.porter.wtxpvh.1@23308.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4
  • Direct secure messaging: fernando.porter.6@8042.direct.athenahealth.com
  • Direct secure messaging: fernando.porter.1@26020.direct.athenahealth.com

Organizations & group practices 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1669785770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122359",
            "telephone_number": "443-777-6890",
            "fax_number": "410-433-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122359",
            "telephone_number": "443-777-6890",
            "fax_number": "410-433-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-17",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD041226",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129376",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "74304",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0075725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.