Individual provider Active NPI

Carol Ann Newill, M.D., PH.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1720046014
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D44717 Issued in MD
Practice address
6907 Avondale Rd
Baltimore, MD 21212-1934
Phone
(410) 769-8016
NPI assigned
May 3, 2006
Reactivated
Apr 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D44717 MD Primary

Addresses

Primary practice location

6907 Avondale Rd
Baltimore, MD 21212-1934

Mailing address

6907 Avondale Rd
Baltimore, MD 21212-1934
Phone (410) 769-8016

Other identifiers 2

IdentifierTypeStateIssuer
D44717OtherMDMEDICAL LICENSE
M39272OtherMDSTATE CDS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Carol a. Newill, M.D. Internal Medicine PastSince Oct 1, 2004 Accepting new patients

Organizations & group practices 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720046014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 AVONDALE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121934",
            "telephone_number": "410-769-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 AVONDALE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121934",
            "telephone_number": "410-769-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWILL",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-03-07",
        "deactivation_date": "2014-02-06",
        "reactivation_date": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D44717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D44717",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CDS NUMBER",
            "identifier": "M39272",
            "state": "MD"
        }
    ],
    "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.