Active NPI
Chase Neitzke, PA-C
- Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0005967
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-0453
- NPI assigned
- Nov 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0005967 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
601 S Paca St
Apartment 1
Baltimore, MD 21230-2432
Phone (410) 570-3632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 Genesis Way
Severna Park, MD 21146-1762
Phone (410) 544-4220
9200 Franklin Square Dr
Baltimore, MD 21237-4458
Phone (410) 391-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0005967 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics Rehabilitative Services - Ltcaco LLC | Current | Accepting new patients | |
| Mdics at Civista LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients |
Locations
3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544
600 N Wolfe St
Baltimore, MD 21287
3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535
4940 Eastern Ave
Baltimore, MD 21224
7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600
9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600
347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181
6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575
121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133
1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717
9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600
310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220
2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300
2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161
3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000
Organizations & group practices 14
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1366289423
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Salisbury, MD
- NPI 1881635183
-
- Internal Medicine Physician
- La Plata, MD
- NPI 1033005475
DC
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1588690135
DC
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1427343664
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
DC, MD
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1013913789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1730552118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S PACA ST",
"address_2": "APARTMENT 1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212302432",
"telephone_number": "410-570-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-0453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEITZKE",
"first_name": "CHASE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0005967",
"primary": true
}
],
"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 Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.