Individual provider Active NPI

Heather Larkin Wade, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1700935228
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P19036 Issued in MD
Practice address
2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231
Phone
(410) 601-9627
Fax
(410) 601-9499
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P19036 MD Primary

Addresses

Primary practice location

2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231

Mailing address

2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231
Phone (410) 601-9627

Other identifiers 1

IdentifierTypeStateIssuer
014134800MedicaidMD

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
I20170607000009 MD Practitioner - Pediatric Medicine 1254608623 Reassigns benefits to 2 organizations
I20170607000012 DC Practitioner - Pediatric Medicine 1254608623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Johns Hopkins University School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians

Practice addresses (Care Compare)

5101 Lanier Ave
Baltimore, MD 21215-5321
Phone (410) 601-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P19036MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince May 25, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc Pediatrics CurrentSince May 1, 2017 Accepting new patients
Sinai Hospital of Baltimore Inc Pediatrics CurrentSince May 25, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc Pediatrics CurrentSince May 1, 2017 Accepting new patients
Johns Hopkins Community Physicians CurrentSince May 1, 2017 Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

5101 Lanier Ave
Fl 2
Baltimore, MD 21215

5101 Lanier Ave
Baltimore, MD 21215
Phone (410) 542-7800

2411 W Belvedere Ave
Ste 402
Baltimore, MD 21215
Phone (410) 601-8314

2700 Remington Ave
Ste 2000
Baltimore, MD 21211
Phone (667) 312-2400

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Organizations & group practices 6

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1700935228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 402",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155231",
            "telephone_number": "410-601-9627",
            "fax_number": "410-601-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 402",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155231",
            "telephone_number": "410-601-9627",
            "fax_number": "410-601-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "HEATHER",
        "middle_name": "LARKIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "P19036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014134800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.