Organization Active NPI

Dr. Ni & Associates,LLC

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1861506107
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR. NI & ASSOCIATES,LLC
Practice address
200 E 33Rd St Ste 471
Baltimore, MD 21218-3322
Phone
(410) 261-8019
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Nan Ni, MDNPI 1518926500
Title
Director
Phone
(410) 261-8019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

200 E 33Rd St Ste 471
Baltimore, MD 21218-3322

Mailing address

4218 Red Fox CT
Ellicott City, MD 21042-5721
Phone (410) 465-5820

Other identifiers 1

IdentifierTypeStateIssuer
418691500MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090504000083 MD Part B Supplier - Clinic/Group Practice 4688722564 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

3333 N Calvert St
#471
Baltimore, MD 21218
Phone (410) 261-8019

3333 N Calvert St
Ste 471
Baltimore, MD 21218
Phone (410) 261-8019

10304B Baltimore National Pike
Ellicott City, MD 21042
Phone (410) 261-8019

Practitioners & affiliated clinicians

Practitioners 2

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1861506107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 RED FOX CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425721",
            "telephone_number": "410-465-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST STE 471",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-261-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NI & ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "NI",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-261-8019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418691500",
            "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 Apr 11, 2017; 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.