Johns Hopkins Bayview Medical Center Inc

Organization Active NPI General Acute Care Hospital · Baltimore, MD

NPI 1790700904 · NPPES record last updated May 6, 2025

Key facts

NPI
1790700904
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
30005 (MD)
Legal business name
JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC
Practice address
4940 Eastern Ave
Bmo BLDG, Level 01
Baltimore, MD 21224-2735
Phone
(410) 617-9274
Fax
(410) 550-7771
NPI assigned
Jul 12, 2006
Organization subpart
No

Authorized official

Name
Jennifer Nickoles
Title
President
Phone
(410) 617-9274

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 13

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

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 147

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 147

Affiliated clinicians 1,404

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,404

Medicare Care Compare: Hospital

Listed as
Johns Hopkins Bayview Medical Center CCN 210029
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD
Opioid treatment program
Medicare-enrolled since Jan 1, 2022

Hospital certification: CCN 210029

Legal name
JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC
Doing business as
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 11, 2018
Beds
430
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
May 9, 1984 in MD
Enrollment address
4940 Eastern Avenue, Bmo Building, Level 01
Johns Hopkins Bayview Medical Center
Baltimore, MD 21224-2735
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Victoria Handa
Individual
Corporate Director Jul 1, 2024
Kevin K Sowers
Individual
Corporate Director
Corporate Vice Chairman
Apr 1, 2018
Lisa M Ishii
Individual
Corporate Officer Jan 30, 2026
W-2 Managing Employee
President
Jan 30, 2026
Stephanie Carol Cooper
Individual
Corporate Director
Board Member
Jul 1, 2016
Rafael H Llinas
Individual
Corporate Director Jul 1, 2022
Danielle M Wharton
Individual
Corporate Officer
VP Support Services
Jul 1, 2017
Sarah Miller Coulson
Individual
Corporate Director Oct 4, 2019
Will Thomas
Individual
Corporate Officer Jun 1, 2025
Gregory Paul Miller
Individual
Corporate Officer Dec 4, 2015
James Dresher Jr
Individual
Corporate Director Nov 16, 2007
Katherine Pinkard
Individual
Corporate Director Jul 1, 2025
Joshua Perry
Individual
Corporate Director Jul 1, 2025
Michael Beatty
Individual
Corporate Director
Board Member
Aug 1, 2012
Marisa Meyer Clifton
Individual
Corporate Director
Vpma
Mar 3, 2025
Peter Warren David Bramble
Individual
Corporate Director Oct 1, 2021
The Johns Hopkins Health System Corporation
Organization · Baltimore, MD
Corporation
5% Or Greater Direct Ownership Interest May 9, 1984 100%
Charles P Scheeler
Individual
Corporate Director
Vice Chairman
Jan 1, 2007
Pamela T Owens
Individual
W-2 Managing Employee
Chief Compliance Officer
Jul 1, 2017
John Davis
Individual
Corporate Officer Sep 29, 2025
Inez Stewart
Individual
Corporate Director Jul 1, 2017
Peter B Mancino
Individual
Corporate Officer
Secretary
Jan 1, 2012

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071119000611 MD Part a Provider - Hospital 7012982051 1 other NPI on this enrollment
Practice locations: Baltimore, MD
O20250813001288 MD Part a Provider - Opioid Treatment Program (Otp) 7012982051 Practice locations: Baltimore, MD

National Provider Directory

Tax ID family
Johns Hopkins Bayview Medical Center (14 organizations share this tax ID)

Locations

5200 Eastern Ave
Fl 6E
Baltimore, MD 21224
Phone (410) 550-0004

4940 Eastern Ave
Rm 11343
Baltimore, MD 21224
Phone (410) 550-5180

5510 Nathan Shock Dr
Ste 1500
Baltimore, MD 21224
Phone (410) 550-0006

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 30005 MD Yes

Addresses

Primary practice location

4940 Eastern Ave
Bmo BLDG, Level 01
Baltimore, MD 21224-2735

Mailing address

3910 Keswick Rd Ste S5100
Baltimore, MD 21211-2226
Phone (410) 617-9274

Other identifiers

IdentifierTypeStateIssuer
341475200MedicaidMD

Other providers in Baltimore, MD

All providers in Baltimore, MD · General Acute Care Hospital in Maryland

Sources for this page

Verify at the official NPI Registry.