Active NPI
St Agnes Healthcare Inc
- Diagnostic Radiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- ASCENSION HEALTH
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2161214-20 | Medicaid | MD |
Other names 1
- Ascension Saint Agnes Imaging Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, OH, MA, RI, IL, GA, WA, WI, AZ, TX, PA
Enrollment records 11
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Integrated Specialists Group
- Internal Medicine Physician
- Baltimore, MD
- NPI 1144250176
O20040128001146, O20250213003434, O20250214000845, O20250217000753, O20250217002007, O20250224001231, O20250401002063, O20250617002979, O20250812000962, O20251016000794, O20260121002603
-
dba St. Agnes Lab Services
- Clinical Medical Laboratory
- Baltimore, MD
- NPI 1164462925
O20040128001146
-
dba St.Agnes Hospital
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
O20040128001146
National Provider Directory
National Provider Directory- Tax ID family
- St Agnes HLTH Care
- Part of
- Ascension Health
Other organizations with this tax ID 40
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1730490806
-
dba St Agnes Anesthesia
- Anesthesiology Physician
- Baltimore, MD
- NPI 1003079799
-
- Registered Dietitian
- Baltimore, MD
- NPI 1053713941
-
dba St. Agnes Lab Services
- Clinical Medical Laboratory
- Baltimore, MD
- NPI 1164462925
-
- Physical Therapist
- Baltimore, MD
- NPI 1184923666
-
dba St.Agnes Hospital
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
-
- Orthopaedic Surgery Physician
- Bel Air, MD
- NPI 1285454819
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1285454918
-
- Surgery Physician
- Catonsville, MD
- NPI 1376363077
-
- Diagnostic Radiology Physician
- Catonsville, MD
- NPI 1417771577
-
- Hematology & Oncology Physician
- Columbia, MD
- NPI 1427870591
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1437106481
-
- Critical Care Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1205278843
Multi-Specialty
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1437307600
-
- Physician Assistant
- Baltimore, MD
- NPI 1013976497
-
- Certified Registered Nurse Anesthetist
- White Marsh, MD
- NPI 1831460294
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1588783286
-
- Hematology & Oncology Physician
- Baltimore, MD
- NPI 1932393766
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1093195828
-
- Obstetrics & Gynecology Physician
- Fulton, MD
- NPI 1932336005
-
- Vascular & Interventional Radiology Physician
- Baltimore, MD
- NPI 1487847075
Diagnostic Radiology
-
- Interventional Cardiology Physician
- Baltimore, MD
- NPI 1780687178
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
- Lisa Michelle Srok, LCPC, ATR-P, MA
- Mairin Srygley, CF-SLP
- SSC Baltimore Operating Company LLC (Overlea Health and Rehabilitation Center)
- Moenirah Ssengo
- SSS3 Angel of Hope's Pediatrics Home & Healthcare Services LLC (SSS3 Protective Care Nursing & Therapy Services)
- St Agnes Healthcare Inc (Integrated Specialists Group)
- St Agnes Hospital
- Bryce St Clair, OD
- St Elizabeth School
- Dorian S St Martin, 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.