Individual provider Active NPI

Marjorie Pennant, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Baltimore, MD
National Provider Identifier
1730370255
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D61595 Issued in MD
Practice address
827 Linden Ave
Floor 2, South
Baltimore, MD 21201-4606
Phone
(443) 682-6800
Fax
(443) 552-2991
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D61595 MD Primary

Addresses

Primary practice location

827 Linden Ave
Floor 2, South
Baltimore, MD 21201-4606

Mailing address

PO Box 64442
Baltimore, MD 21264-0001
Phone (410) 328-8040

Other identifiers 2

IdentifierTypeStateIssuer
405736800MedicaidMD
9783-0020OtherMDCAREFIRST BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, 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
I20041110000156 DC Practitioner - Internal Medicine 0042273161 Reassigns benefits to 1 organization
I20080807000124 MD Practitioner - EndocrinologyPractitioner - Internal Medicine 0042273161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Physicians PAGroup PAC ID 2769394808, 395 clinicians

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-8040

Hospital & facility affiliations

  • University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M Management Group LLC CurrentSince May 31, 2022 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Jan 1, 2014 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians P.a. Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2014 Accepting new patients
University of Maryland Physicians PA Endocrinology, Diabetes & Metabolism Current Accepting new patients
M Management Group, LLC CurrentSince May 31, 2022 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 Van Buren St
Annapolis, MD 21403
Phone (301) 933-2500

827 Linden Ave
Fl 2
Baltimore, MD 21201
Phone (443) 682-6800

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

827 Linden Ave
Fl 1
Baltimore, MD 21201
Phone (410) 225-8780

800 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8301

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

1502 Frederick Rd
Catonsville, MD 21228
Phone (410) 747-0120

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

4011 Randolph Rd
Wheaton, MD 20902
Phone (301) 933-2500

Interoperability endpoints

  • Direct secure messaging: mpennant98090@direct.umm.edu

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 2

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1730370255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64442",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212640001",
            "telephone_number": "410-328-8040",
            "fax_number": "443-462-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 LINDEN AVE",
            "address_2": "FLOOR 2, SOUTH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014606",
            "telephone_number": "443-682-6800",
            "fax_number": "443-552-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNANT",
        "first_name": "MARJORIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D61595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405736800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "9783-0020",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.