Laurie Jane Antonik, M.D.
Individual provider Active NPI Anesthesiology Physician · Baltimore, MD
NPI 1790749075 · NPPES record last updated Feb 1, 2013
Key facts
- NPI
- 1790749075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- D51544 (MD)
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-6353
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Johns Hopkins University School of Medicine, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Johns Hopkins University
Practice addresses (Care Compare)
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
Hospital & facility affiliations
- Johns Hopkins Hospital, the
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 |
|---|---|---|---|---|
| I20041116000163 | MD | Practitioner - Anesthesiology | 3173587540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D51544 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current |
Accepting new patients | |
| Johns Hopkins University | Anesthesiology | Current |
Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Hunt Valley Anesthesia Associates, PA | Past | Accepting new patients |
Locations
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
600 N Wolfe St
Baltimore, MD 21287
Interoperability endpoints
- lantonik27000@direct.hopkinsmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D51544 | MD | Yes |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
PO Box 64382
Baltimore, MD 21264-4382
Phone (410) 955-8408
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155100100 | Medicaid | MD |
Other providers in Baltimore, MD
- Denis Antoine II
- Susan Marie Antol
- Christina Joy Antolick
- Antoniades Orthopaedics, LLC
- John T Antoniades
- Antonio a Bertumen MD PA
- Alexandra Elizabeth Antonio
- Lara Antonios
- Christina Antonopoulos
- Inga Margret Antonsdottir
All providers in Baltimore, MD · Anesthesiology 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 Feb 1, 2013. 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.