Active NPI
Andrew Constantine Kithas
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0095068
- Practice address
- 345 Saint Paul St
Baltimore, MD 21202-2123 - Phone
- (410) 332-9000
- NPI assigned
- Mar 31, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | D0095068 | MD | Primary |
Addresses
Primary practice location
345 Saint Paul St
Baltimore, MD 21202-2123
Mailing address
22 S Greene St RM N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110
Other practice location 1
22 S Greene St Rm N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0095068 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Family Care, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
345 Saint Paul St
Baltimore, MD 21202
Phone (410) 332-9594
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
Organizations & group practices 1
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": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1841752870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST RM N3E09",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 SAINT PAUL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022123",
"telephone_number": "410-332-9000"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St Rm N3E09",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-6110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITHAS",
"first_name": "ANDREW",
"middle_name": "CONSTANTINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-31",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0095068",
"primary": true
}
],
"identifiers": [],
"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 Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.