Individual provider Active NPI

Grant Edward Lattin Jr., M.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1912084955
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A91663 Issued in CA
Practice address
600 N Wolfe St
Baltimore, MD 21287-0005
Phone
(240) 857-2086
NPI assigned
Nov 1, 2006
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0087914 MD
Diagnostic Radiology Physician 2085R0202X A91663 CA Primary

Addresses

Primary practice location

600 N Wolfe St
Baltimore, MD 21287-0005

Mailing address

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (301) 229-2597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, CA, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20191105002177 DC Practitioner - Diagnostic Radiology 0345572657 Reassigns benefits to 4 organizations
I20191106000030 MD Practitioner - Diagnostic Radiology 0345572657 Reassigns benefits to 1 organization
I20210803002062 CA Practitioner - Diagnostic Radiology 0345572657 Reassigns benefits to 4 organizations
I20230928000105 FL Practitioner - Diagnostic Radiology 0345572657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2003
Medicare assignment
May accept Medicare assignment
Group practices
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians
Ohri LLCGroup PAC ID 4981912169, 130 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Johns Hopkins UniversityGroup PAC ID 4981745098, shared by 45 NPIs, 711 clinicians

Practice addresses (Care Compare)

2615 Chester Ave
Bakersfield, CA 93301-2014

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544

5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

6201 Greenleigh Ave
Middle River, MD 21220-2004

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.87
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
53.28
Promoting interoperability
98
Improvement activities
40
Cost
63.18

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91663CAMDDiagnostic Radiology Physician
D0087914MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC CurrentSince Oct 1, 2023 Accepting new patients
Johns Hopkins University Diagnostic Radiology CurrentSince Oct 2, 2019 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jul 14, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
County of Los Angeles CurrentSince Jul 14, 2021 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2019 Accepting new patients
Ohri, LLC CurrentSince Oct 1, 2023 Accepting new patients
Ohri, LLC Diagnostic Radiology Current Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jun 1, 2022 Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
Johns Hopkins University CurrentSince Oct 2, 2019 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince May 20, 2021 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2023 Accepting new patients
Kennewick Radiology Group PC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jun 1, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
San Joaquin Community Hospital CurrentSince Jun 1, 2022 Accepting new patients
County of Los Angeles Current Accepting new patients
Johns Hopkins University Current Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients

Locations

2301 Bahamas Dr
Bakersfield, CA 93309

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

52 Underwood St
#153
Orlando, FL 32806
Phone (321) 841-2558

600 N Wolfe St
Baltimore, MD 21287

6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: glattin562767@direct.hopkinsmedicine.org

Organizations & group practices 23

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

View all 23

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1912084955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "301-229-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "240-857-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIN",
        "first_name": "GRANT",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0087914",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A91663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.