Organization Active NPI

St Agnes Healthcare Inc

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1780615922
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ST AGNES HEALTHCARE INC
Practice address
3449 Wilkens Ave
Suite 102
Baltimore, MD 21229-5281
Phone
(667) 234-8675
Fax
(667) 234-8688
NPI assigned
Jul 5, 2006
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Mr. William B Higginbotham
Title
President/Ceo
Phone
(667) 234-3162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

3449 Wilkens Ave
Suite 102
Baltimore, MD 21229-5281

Mailing address

3449 Wilkens Ave Ste 102
Baltimore, MD 21229-5216
Phone (667) 234-8675

Other identifiers 1

IdentifierTypeStateIssuer
2161214-20MedicaidMD

Other names 1

  • Ascension Saint Agnes Imaging Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, OH, MA, RI, IL, GA, WA, WI, AZ, TX, PA11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
O20040128001146 MD Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 451 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Eldersburg, MD; Columbia, MD; Catonsville, MD; Bel Air, MD; Baltimore, MD
O20250213003434 OH Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norwood, OH
O20250214000845 MA Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newton, MA; Cambridge, MA; Jamaica Plain, MA
O20250217000753 RI Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Greenwich, RI
O20250217002007 IL Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL
O20250224001231 GA Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atlanta, GA
O20250401002063 WA Part B Supplier - Clinic/Group Practice 9830092733 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kirkland, WA
O20250617002979 WI Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elm Grove, WI
O20250812000962 AZ Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Paradise Valley, AZ
O20251016000794 TX Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prosper, TX
O20260121002603 PA Part B Supplier - Clinic/Group Practice 9830092733 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glen Mills, PA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St Agnes HLTH Care41 organizations share this tax ID, including this one
Part of
Ascension Health

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

3407 Wilkens Ave
Ste 220
Baltimore, MD 21229
Phone (301) 490-2193

3407 Wilkens Ave
Ste 410
Baltimore, MD 21229
Phone (443) 574-8500

3421 Benson Ave
Ste 230
Baltimore, MD 21227
Phone (410) 368-8460

716 Maiden Choice Ln
Ste 101
Baltimore, MD 21228
Phone (410) 747-4080

720 Maiden Choice Ln
Ste 101
Baltimore, MD 21228
Phone (410) 744-5900

2014 S Tollgate Rd
Ste 107
Bel Air, MD 21015
Phone (410) 321-8720

716 Maiden Choice Ln
#202203
Catonsville, MD 21228
Phone (443) 546-1600

11055 Little Patuxent Pkwy
Ste L6
Columbia, MD 21044
Phone (410) 730-9775

6740 Alexander Bell Dr
Ste 104
Columbia, MD 21046
Phone (667) 234-8675

795 Aquahart Rd
Ste 130
Glen Burnie, MD 21061
Phone (410) 766-0660

Practitioners & affiliated clinicians

Practitioners 514

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 514

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1780615922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE STE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295216",
            "telephone_number": "667-234-8675",
            "fax_number": "667-234-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295281",
            "telephone_number": "667-234-8675",
            "fax_number": "667-234-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST  AGNES HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION HEALTH",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "667-234-3162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161214-20",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Saint Agnes Imaging Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.