NPIMap

Organization Active NPI

Johns Hopkins Bayview Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
National Provider Identifier
1790700904
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
30005 Issued in 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
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2022

Enrollment records 2

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790700904. Details of each certification follow.

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
CorporationNon-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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Johns Hopkins Bayview Medical CenterCCN 210029 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Johns Hopkins Bayview Medical Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

3910 Keswick Rd
Ste S
Baltimore, MD 21211

4940 Eastern Ave
#1
Baltimore, MD 21224
Phone (410) 550-0120

4940 Eastern Ave
Rm 10154
Baltimore, MD 21224
Phone (410) 288-8000

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

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

Ownership & related parties

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 DirectorCorporate Vice Chairman Apr 1, 2018
Lisa M Ishii Individual Corporate Officer Jan 30, 2026
W-2 Managing EmployeePresident Jan 30, 2026
Stephanie Carol Cooper Individual Corporate DirectorBoard Member Jul 1, 2016
Rafael H Llinas Individual Corporate Director Jul 1, 2022
Danielle M Wharton Individual Corporate OfficerVP 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 DirectorBoard Member Aug 1, 2012
Marisa Meyer Clifton Individual Corporate DirectorVpma 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 DirectorVice Chairman Jan 1, 2007
Pamela T Owens Individual W-2 Managing EmployeeChief 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 OfficerSecretary Jan 1, 2012

Owners & managing parties with NPI records 4

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 147

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 147

Affiliated clinicians 1,404

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

View all 1,404

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1790700904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 KESWICK RD STE S5100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112226",
            "telephone_number": "410-617-9274",
            "fax_number": "443-997-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "BMO BLDG, LEVEL 01",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-617-9274",
            "fax_number": "410-550-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS HOPKINS BAYVIEW MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "NICKOLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-617-9274"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "30005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.