Active NPI
Johns Hopkins University
- Otolaryngology Physician
- Baltimore, MD
National Provider Identifier
1922004696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- JOHNS HOPKINS UNIVERSITY
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 933-6401
- NPI assigned
- Jun 27, 2005
- Organization subpart
- Yes
- Parent organization
- JOHNS HOPKINS UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shavonda L Keating
- Title
- Sr Production Unit MGR
- Phone
- (410) 933-6430
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD | Primary | |
| Audiologist | 231H00000X | MD |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
PO Box 64588
Baltimore, MD 21264-4588
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 795538300 | Medicaid | MD | |
| CA9023 | Other | MD | RRMC |
| 041752500 | Medicaid | DC | |
| 766631400 | Medicaid | MD |
Other names 1
- JHU - OTOLARYNGOLOGY HEAD & NECK SURGERY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000719 | MD | Part B Supplier - Clinic/Group Practice | 8921903147 |
Receives reassigned benefits from 4,764 practitioners This NPI is an additional NPI on the enrollment |
| O20110506000067 | DC | Part B Supplier - Clinic/Group Practice | 1052223229 |
Receives reassigned benefits from 18 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD; Washington, DC; Rockville, MD; Bethesda, MD |
| O20110701000123 | MD | Part B Supplier - Clinic/Group Practice | 1052223229 |
Receives reassigned benefits from 10 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD; Columbia, MD; Lutherville, MD |
| O20131223000266 | DC | Part B Supplier - Clinic/Group Practice | 4981745098 |
Receives reassigned benefits from 43 practitioners 3 other NPIs on this enrollment Practice locations: Arlington, VA; Bethesda, MD |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Speech-Language Pathologist
- Baltimore, MD
- NPI 1366729758
O20110701000123, O20131223000266
-
- Child & Adolescent Psychiatry Physician
- Baltimore, MD
- NPI 1538144803
O20110506000067
-
- Pediatric Endocrinology Physician
- Baltimore, MD
- NPI 1730176264
O20110506000067
National Provider Directory
National Provider Directory- Part of
- Johns Hopkins Univ Emer
Practitioners & affiliated clinicians
Practitioners 112
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Baltimore, MD
- NPI 1578602603
DC, Otolaryngology
-
- Otolaryngology Physician
- Baltimore, MD
- NPI 1639478431
DC, Otolaryngology
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Baltimore, MD
- NPI 1982232047
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1922004696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64588",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644588"
},
{
"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": "410-933-6401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNS HOPKINS UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOHNS HOPKINS UNIVERSITY",
"enumeration_date": "2005-06-27",
"last_updated": "2022-07-21",
"certification_date": "2021-03-07",
"status": "A",
"authorized_official_last_name": "KEATING",
"authorized_official_first_name": "SHAVONDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SR PRODUCTION UNIT MGR",
"authorized_official_telephone_number": "410-933-6430"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MD",
"license": null,
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": "MD",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "795538300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "CA9023",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041752500",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "766631400",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JHU - OTOLARYNGOLOGY HEAD & NECK SURGERY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JHU - OTOLARYNGOLOGY HEAD & NECK SURGERY",
"code": "3",
"type": "Doing Business As"
}
]
}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 21, 2022; 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.