Mandy Rachuba Criado, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C03177 Issued in MD

Practice address

1447 York Rd Ste 102
Lutherville, MD 21093-6074

Phone

(667) 214-1171

Fax

(410) 337-5107

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

University of Maryland Dermatologists PAGroup PAC ID 7810888484, 17 clinicians

Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Merit-based Incentive Payment System (MIPS)

Final score

83.31 of 100Reported as group

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Cost

70.47

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• University of Maryland Dermatologists PA

  • Dermatology Physician
  • Columbia, MD
  • NPI 1659304152
  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment Care Compare group
• St. Paul Place Specialists, Inc.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Baltimore, MD
  • NPI 1871549196
  Medicare reassignment
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  dba Jhu - Dermatology

  • Dermatology Physician
  • Baltimore, MD
  • NPI 1659377323
  NPD
• St Paul Place Specialists Inc

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1497707681
  NPD
• St Paul Place Specialists, Inc.

  • Dermatology Physician
  • Baltimore, MD
  • NPI 1639189863

  Physician Assistant

  NPD
• University of Maryland Dermatologists PA

  • Dermatology Physician
  • Baltimore, MD
  • NPI 1033927470
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993
  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1902955271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 102",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936074",
            "telephone_number": "667-214-1171",
            "fax_number": "410-337-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 YORK RD STE 102",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936074",
            "telephone_number": "667-214-1171",
            "fax_number": "410-337-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIADO",
        "first_name": "MANDY",
        "middle_name": "RACHUBA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Coulson, LCSW-C
• John Ashby Covington, M.D.
• Marilyn A Cox, PHARMD, BCPS, CDE
• CPJ Medical LLC
• John H Creeger
• Kathleen A Criss, PT, DPT, ATC
• Heath Crist
• David McEvoy Cromwell, M.D.
• Edwin L.W. Crooks, DDS
• Rachael Crowe, DNP, CPNP-AC, FNP-C

• Physician Assistant in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.