Active NPI
Michael Joseph Mininsohn, M.D.
- Hospitalist Physician
- Baltimore, MD
National Provider Identifier
1942295886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- D31189
- Practice address
- 8813 Waltham Woods Rd
Suite 104
Baltimore, MD 21234-2450 - Phone
- (410) 661-4060
- Fax
- (410) 661-5349
- NPI assigned
- Sep 16, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D31189 | MD | |
| Hospitalist Physician | 208M00000X | D31189 | MD | Primary |
Addresses
Primary practice location
8813 Waltham Woods Rd
Suite 104
Baltimore, MD 21234-2450
Mailing address
8813 Waltham Woods Rd
Suite 104
Baltimore, MD 21234-2450
Phone (410) 661-4060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378161500 | Medicaid | MD |
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 |
|---|---|---|---|
| D31189 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| Saint Joseph Medical Center , Inc. | Past | Accepting new patients | |
| St. Joseph Physician Enterprise | Past | Accepting new patients | |
| Michael J Mininsohn, MD, PA | Internal Medicine | Past | Accepting new patients |
Locations
7505 Osler Dr
Ste 204
Towson, MD 21204
Phone (410) 427-5555
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
Interoperability endpoints
- mmininsohn108649@direct.umm.edu
Organizations & group practices 5
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.
-
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1386746790
-
- Surgical Assistant
- Towson, MD
- NPI 1053816074
-
- Multi-Specialty Clinic/Center
- Towson, MD
- NPI 1699862961
-
- Multi-Specialty Clinic/Center
- Towson, MD
- NPI 1518143304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1942295886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8813 WALTHAM WOODS RD",
"address_2": "SUITE 104",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212342450",
"telephone_number": "410-661-4060",
"fax_number": "410-661-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8813 WALTHAM WOODS RD",
"address_2": "SUITE 104",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212342450",
"telephone_number": "410-661-4060",
"fax_number": "410-661-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MININSOHN",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D31189",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D31189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378161500",
"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 Oct 21, 2019; 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.