Individual provider Active NPI

Kadija Hersi, M.D

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1740593987
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D75684 Issued in MD
Practice address
600 N Wolfe St BLDG 5TH
Baltimore, MD 21287-0005
Phone
(410) 955-3467
Fax
(410) 955-0036
NPI assigned
Jul 16, 2010
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 D75684 MD Primary

Addresses

Primary practice location

600 N Wolfe St BLDG 5TH
Baltimore, MD 21287-0005

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131022000824 MD Practitioner - Internal Medicine 9335374628 Reassigns benefits to 3 organizations
I20171023003068 VA Practitioner - Internal Medicine 9335374628 Reassigns benefits to 2 organizations
I20231116002105 DC Practitioner - Critical Care (Intensivists) 9335374628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of Pittsburgh School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Nov 6, 2023 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Internal Medicine CurrentSince Aug 20, 2013 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince Oct 4, 2023 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince Oct 4, 2023 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine Current Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2023 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Oct 4, 2023 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
St Agnes Healthcare Inc CurrentSince Nov 6, 2023 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2023 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Aug 20, 2013 Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 300
Washington, DC 20016
Phone (202) 243-2280

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

600 N Wolfe St
Bldg 5TH
Baltimore, MD 21287
Phone (410) 550-5864

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

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

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 548-2600

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: khersi959155@direct.hopkinsmedicine.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1740593987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST BLDG 5TH",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-3467",
            "fax_number": "410-955-0036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "410-543-7531",
            "fax_number": "410-912-6386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSI",
        "first_name": "KADIJA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D75684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.