NPIMap

Organization Active NPI

Pikesville Health Services LLC

  • Home Infusion Agency
  • Baltimore, MD
National Provider Identifier
1700539269
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
PIKESVILLE HEALTH SERVICES LLC
Practice address
1209 Greenwood Rd
Baltimore, MD 21208-3609
Phone
(410) 258-8939
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Amiel Chicheportiche
Title
Program Sponsor
Phone
(410) 484-8500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary
Infusion Therapy Clinic/Center 261QI0500X
Home Infusion Therapy Pharmacy 3336H0001X

Addresses

Primary practice location

1209 Greenwood Rd
Baltimore, MD 21208-3609

Mailing address

2833 Smith Ave Ste 148
Baltimore, MD 21209-1426
Phone (410) 258-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220107000785 MD Part B Supplier - Mass Immunization (Roster Biller Only) 4880989938 1 other NPI on this enrollment
Practice locations: Baltimore, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pikesville Health Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1700539269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 SMITH AVE STE 148",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091426",
            "telephone_number": "410-258-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 GREENWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212083609",
            "telephone_number": "410-258-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKESVILLE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "CHICHEPORTICHE",
        "authorized_official_first_name": "AMIEL",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "410-484-8500"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.