Organization Active NPI

Julius Boateng, M.D. PC

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1831573179
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D46267 Issued in MD
Legal business name
JULIUS BOATENG, M.D. PC
Practice address
2411 W Belvedere Ave
Suite 201
Baltimore, MD 21215-5228
Phone
(410) 466-5323
Fax
(410) 466-5130
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Julius Boaten, M.D.
Title
Physicia
Phone
(410) 466-5323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D46267 MD Primary

Addresses

Primary practice location

2411 W Belvedere Ave
Suite 201
Baltimore, MD 21215-5228

Mailing address

PO Box 26587
Baltimore, MD 21207-0387
Phone (410) 466-5323

Other identifiers 1

IdentifierTypeStateIssuer
230103200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151005000278 MD Part B Supplier - Clinic/Group Practice 0941518385 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Tax ID family
Julius Boateng MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1831573179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26587",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212070387",
            "telephone_number": "410-466-5323",
            "fax_number": "410-466-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE",
            "address_2": "SUITE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155228",
            "telephone_number": "410-466-5323",
            "fax_number": "410-466-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIUS BOATENG, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "BOATEN",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "PHYSICIA",
        "authorized_official_telephone_number": "410-466-5323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D46267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230103200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.