Individual provider Active NPI

Kristen Phiri, M.D.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1689054827
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D87466 Issued in MD
Practice address
6535 N Charles St Ste 100
Baltimore, MD 21204
Phone
(443) 849-2707
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT209489 PA
Family Medicine Physician 207Q00000X D87466 MD Primary

Addresses

Primary practice location

6535 N Charles St Ste 100
Baltimore, MD 21204

Mailing address

6701 N. Charles Street
S. Chapman Building, Suite 102
Baltimore, MD 21204-6808

Other practice location 1

6535 N Charles St Ste 100
Baltimore, MD 21204
Phone (443) 849-2707

Other practice location 2

740 High St
Suite 4001
Williamsport, PA 17701-3102
Phone (570) 321-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20180731000337 PA Practitioner - Family Practice 5395058580 Reassigns benefits to 1 organization
I20191115002152 MD Practitioner - Family Practice 5395058580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

6565 N Charles St
Baltimore, MD 21204-6808

6569 N Charles St
Baltimore, MD 21204-5816

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D87466MDMDFamily Medicine Physician
MT209489PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Family Medicine CurrentSince Aug 27, 2018 Accepting new patients
Wellspan Medical Group CurrentSince Aug 27, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Oct 21, 2019 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Oct 21, 2019 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients

Locations

6535 N Charles St
Ste 100
Towson, MD 21204
Phone (410) 580-2480

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6701 N Charles St
Ste 102
Towson, MD 21204
Phone (443) 849-2459

96 Sofia Dr
Ste 208
Shrewsbury, PA 17361
Phone (717) 812-2400

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

2250 E Market St
York, PA 17402
Phone (717) 812-6670

Interoperability endpoints

  • Direct secure messaging: kphiri52373@gbmcdirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1689054827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N. CHARLES STREET",
            "address_2": "S. CHAPMAN BUILDING, SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 N CHARLES ST STE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-849-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 N Charles St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21204",
            "country_code": "US",
            "telephone_number": "443-849-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 High St",
            "address_2": "Suite 4001",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013102",
            "country_code": "US",
            "telephone_number": "570-321-2315",
            "fax_number": "570-321-2359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIRI",
        "first_name": "KRISTEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT209489",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D87466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.