Makeida Koyi, M.D.
Individual provider Active NPI Psychiatry Physician · Baltimore, MD
NPI 1700103181 · NPPES record last updated Jan 7, 2016
Key facts
- NPI
- 1700103181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- D80393 (MD)
- Practice address
- 701 W Pratt St
RM. 474
Baltimore, MD 21201-1023 - Phone
- (410) 328-6325
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Toledo Medical College, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psych Associates of Maryland LLC
Practice addresses (Care Compare)
9520 Berger Rd
Suite 203
Columbia, MD 21046-1543
Phone (410) 290-6940
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160125000935 | MD | Practitioner - Psychiatry | 6204139322 | Reassigns benefits to 3 organizations |
| I20220331003145 | DC | Practitioner - Psychiatry | 6204139322 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D80393 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Psychiatry | Current |
Accepting new patients |
| Johns Hopkins University | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Psych Associates of Maryland LLC | Psychiatry | Current |
Accepting new patients |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Neta, Inc. | Past |
Accepting new patients |
Locations
175 Harry S Truman Pkwy
#J
Annapolis, MD 21401
Phone (443) 481-5400
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
921 E Fort Ave
Ste 100
Baltimore, MD 21230
Phone (410) 727-0556
4940 Eastern Ave
Baltimore, MD 21224
124 N Main St
Ste C
Berlin, MD 21811
Phone (410) 641-4598
4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799
9520 Berger Rd
Ste 203
Columbia, MD 21046
Phone (410) 290-6940
9891 Broken Land Pkwy
Ste 210
Columbia, MD 21046
Phone (667) 220-7868
9715 Medical Center Dr
Ste 528
Rockville, MD 20850
Phone (301) 340-1355
1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858
10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727
2331 York Rd
Ste 100
Timonium, MD 21093
1447 York Rd
Ste 601
Timonium, MD 21093
Phone (667) 220-0097
120 Sister Pierre Dr
Ste 403
Towson, MD 21204
Interoperability endpoints
- bloomhealthcenters.makeidakoyi@131200.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D80393 | MD | Yes |
Addresses
Primary practice location
701 W Pratt St
RM. 474
Baltimore, MD 21201-1023
Mailing address
701 W Pratt St
RM. 474
Baltimore, MD 21201-1023
Phone (410) 328-6325
Other providers in Baltimore, MD
- Paula Kowalewski
- Annie Wong Kowalis
- Michael Kowalis
- Rebecca Kowalski
- Neel Koyawala
- Kara Bush Koymen
- Melinda Morgan Koza
- Zofia Kozak
- Jason Daniel Bevilacqua Kozarek
- Mary Jo Kozel
All providers in Baltimore, MD · Psychiatry Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.