Kristiina S.L.R. Altman, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Baltimore, MD
NPI 1790741353 · NPPES record last updated Sep 12, 2016
Key facts
- NPI
- 1790741353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D54975 (MD)
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-7802
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110512000387 | MD | Practitioner - Obstetrics/Gynecology | 6608052436 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D54975 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current |
Accepting new patients | |
| Johns Hopkins University | Obstetrics & Gynecology | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
333 Cassell Dr
Ste 3000
Baltimore, MD 21224
Phone (410) 550-0212
4940 Eastern Ave
Baltimore, MD 21224
600 N Wolfe St
Baltimore, MD 21287
4924 Campbell Blvd
Ste 225
Nottingham, MD 21236
Phone (410) 614-4030
10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727
Interoperability endpoints
- kaltman34685@direct.hopkinsmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D54975 | MD | Yes |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
PO Box 64313
Baltimore, MD 21264-4313
Phone (410) 550-0335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407702400 | Medicaid | MD |
Other names
- Kristiina Sini Ruutiainen
Other providers in Baltimore, MD
- Aldanah Mohammed Althwanay
- Leodor Altidor
- Vivian V Altiery de Jesus
- Altimax Home Care, LLC
- Jessica Altman
- Michael E Altman
- Marina Altmark
- Brenda Alto
- Hannah Rose Alton
- Laura M Alton
All providers in Baltimore, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.