Individual provider Active NPI

Lesley Aisha Stephens Hanes, MD

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1811956808
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
236300 Issued in NY
Practice address
900 Caton Ave
Box #065
Baltimore, MD 21229-5201
Phone
(410) 368-2011
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 236300 NY Primary

Addresses

Primary practice location

900 Caton Ave
Box #065
Baltimore, MD 21229-5201

Mailing address

14334 Bensworth Way
Glenelg, MD 21737-9617
Phone (917) 371-3849

Other identifiers 1

IdentifierTypeStateIssuer
02718954MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120223000684 MD Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9830104553 Reassigns benefits to 3 organizations
I20250806000740 DC Practitioner - Emergency Medicine 9830104553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Medical Group, PA CurrentSince May 19, 2025 Accepting new patients
First Call Medical Center LLC CurrentSince May 19, 2025 Accepting new patients
First Call Medical Center LLC CurrentSince May 19, 2025 Accepting new patients
Centennial Medical Group, PA CurrentSince May 19, 2025 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2013 Accepting new patients
Cep America LLC CurrentSince Jul 1, 2013 Accepting new patients
First Call Medical Center LLC CurrentSince May 19, 2025 Accepting new patients
First Call Medical Center LLC Current Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients
Caton Emergency Physicians Past Accepting new patients
Maryland Provo-I Medical Services, PC Past Accepting new patients
Champion Emergency Physicians LLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

900 S Caton Ave
#134
Baltimore, MD 21229
Phone (410) 368-2000

15646 Old Columbia Pike
Burtonsville, MD 20866
Phone (301) 421-1214

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

6250 Old Dobbin Ln
Columbia, MD 21045

6250 Old Dobbin Ln
Ste A
Columbia, MD 21045
Phone (410) 694-7999

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1811956808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14334 BENSWORTH WAY",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217379617",
            "telephone_number": "917-371-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "address_2": "BOX #065",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS HANES",
        "first_name": "LESLEY",
        "middle_name": "AISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "236300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02718954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.