Active NPI
Karen Trent-Mims, M.D.
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0026923
- Practice address
- 4 W Rolling Crossroads
Suite 100
Baltimore, MD 21228-6280 - Phone
- (410) 869-0100
- Fax
- (410) 869-0460
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0026923 | MD | Primary |
Addresses
Primary practice location
4 W Rolling Crossroads
Suite 100
Baltimore, MD 21228-6280
Mailing address
6401 Deer Park Rd
Reisterstown, MD 21136-5912
Phone (410) 833-4741
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2331062 | Other | AETNA HMO | |
| 039557 | Other | JOHNS HOPKINS HEALTHCARE | |
| 0713092 | Other | UNITED HEALTHCARE | |
| 4515143002 | Other | CIGNA | |
| 52053501 | Other | CAREFIRST MARYLAND | |
| 93484 | Medicaid | MD | |
| 0032 | Other | CAREFIRST DC | |
| 281961 | Other | MAMSI | |
| 7065116 | Other | AETNA PPO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Potomac Physicians PA | Internal Medicine | Past | Accepting new patients |
Locations
4 W Rolling Cross Rd
Ste 100
Catonsville, MD 21228
Phone (410) 869-0100
4 W Rolling Xrds
Ste 100
Catonsville, MD 21228
Phone (410) 869-0100
118 Shawan Rd
Fl 2
Hunt Valley, MD 21030
Phone (410) 469-4911
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
Organizations & group practices 6
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.
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- Cardiovascular Disease Physician
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- NPI 1740086149
-
- Endocrinology, Diabetes & Metabolism Physician
- Towson, MD
- NPI 1851873970
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba LifeBridge Community Pulmonology LLC
- Pulmonary Disease Physician
- Pikesville, MD
- NPI 1306182621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1952329336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 DEER PARK RD",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211365912",
"telephone_number": "410-833-4741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 W ROLLING CROSSROADS",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212286280",
"telephone_number": "410-869-0100",
"fax_number": "410-869-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENT-MIMS",
"first_name": "KAREN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0026923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2331062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS HEALTHCARE",
"identifier": "039557",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0713092",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4515143002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "52053501",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93484",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST DC",
"identifier": "0032",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "281961",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7065116",
"state": null
}
],
"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 Jul 9, 2007; 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.