Individual provider Active NPI

Ileana Showalter, M.D.

  • Specialist
  • Baltimore, MD
National Provider Identifier
1750370342
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0061870 Issued in MD
Practice address
301 Saint Paul PL
Suite 612
Baltimore, MD 21202-2102
Phone
(410) 837-6126
Fax
(410) 539-3418
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0061870 MD Primary

Addresses

Primary practice location

301 Saint Paul PL
Suite 612
Baltimore, MD 21202-2102

Mailing address

501 Saint Paul PL
Apt. 1002
Baltimore, MD 21202-2270
Phone (410) 837-8286

Other identifiers 1

IdentifierTypeStateIssuer
405908500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000558 MD Practitioner - Otolaryngology 0648259291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Puerto Rico School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alan E. Oshinsky, M.D.P.a.Group PAC ID 1850371055, 2 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Suite 612
Baltimore, MD 21202-2102
Phone (410) 837-6126

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
89.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061870MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan E. Oshinsky, M.D.P.a. Specialist CurrentSince Aug 1, 2004 Accepting new patients
Maryland General Professional Practices Inc. Past Accepting new patients

Locations

301 Saint Paul St
Ste 612
Baltimore, MD 21202
Phone (410) 837-6126

Interoperability endpoints

  • Direct secure messaging: ishowalter47659@direct.mdmercy.com

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.

Hospital & facility affiliations 1

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1750370342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SAINT PAUL PL",
            "address_2": "APT. 1002",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022270",
            "telephone_number": "410-837-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SAINT PAUL PL",
            "address_2": "SUITE 612",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022102",
            "telephone_number": "410-837-6126",
            "fax_number": "410-539-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "ILEANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0061870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405908500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.