Individual provider Active NPI

Mona A Kaleem, MD

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1679708424
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1679708424 Issued in MD
Practice address
419 W Redwood St Ste 470
Baltimore, MD 21201-7009
Phone
(667) 214-1111
Fax
(410) 328-1178
NPI assigned
May 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 1679708424 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 470
Baltimore, MD 21201-7009

Mailing address

301 Saint Paul PL
Tower Building, Medicine
Baltimore, MD 21202-2102
Phone (410) 332-9694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141006000273 MD Practitioner - Ophthalmology 3476787102 Reassigns benefits to 2 organizations
I20200416001426 DC Practitioner - Ophthalmology 3476787102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins UniversityGroup PAC ID 1052223229, 196 clinicians

Practice addresses (Care Compare)

6430 Rockledge Dr
Bethesda, MD 20817-1805
Phone (240) 482-1100

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3939

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery159

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1679708424MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Eye Associates, P.a. Single Specialty CurrentSince Aug 11, 2014 Accepting new patients
University of Maryland Eye Associates, P.a. CurrentSince Aug 11, 2014 Accepting new patients
Johns Hopkins University Single Specialty Current Accepting new patients
Johns Hopkins University Ophthalmology CurrentSince Apr 1, 2020 Accepting new patients
Johns Hopkins University Single Specialty CurrentSince Apr 1, 2020 Accepting new patients
Johns Hopkins University Single Specialty CurrentSince Apr 1, 2020 Accepting new patients
Johns Hopkins University CurrentSince Apr 1, 2020 Accepting new patients

Locations

419 W Redwood St
Ste 470
Baltimore, MD 21201
Phone (667) 214-1197

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

10751 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: mkaleem593943@direct.hopkinsmedicine.org

Organizations & group practices 7

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": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1679708424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "TOWER BUILDING, MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-332-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 470",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017009",
            "telephone_number": "667-214-1111",
            "fax_number": "410-328-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEEM",
        "first_name": "MONA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "1679708424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.