Individual provider Active NPI

Alan Henry Shikani, M.D.

  • Otolaryngology Physician
  • Baltimore, MD
National Provider Identifier
1962428979
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D35559 Issued in MD
Practice address
3333 N Calvert St BLDG Suite631
Baltimore, MD 21218-2867
Phone
(443) 552-2653
Fax
(410) 554-2171
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D35559 MD Primary

Addresses

Primary practice location

3333 N Calvert St BLDG Suite631
Baltimore, MD 21218-2867

Mailing address

3333 N Calvert St Ste 360
Baltimore, MD 21218-2867
Phone (443) 552-2653

Other identifiers 5

IdentifierTypeStateIssuer
522047995OtherMDUNITED HEALTHCARE
563200500MedicaidMD
67262OtherMDMDIPA/OPTIMUM CHOICE
0004233654OtherMDAETNA
1351840OtherMDCIGNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120113000391 MD Practitioner - Otolaryngology 1658277850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D35559MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland ENT Center, LLC Otolaryngology CurrentSince Aug 2, 2001 Accepting new patients
Maryland Ear Nose and Throat Center, LLC Past Accepting new patients
Maryland ENT Center, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 E 33rd St
Ste 631
Baltimore, MD 21218
Phone (410) 261-8006

3333 N Calvert St
Ste 631
Baltimore, MD 21218
Phone (443) 552-2653

3333 N Calvert St
Ste 360
Baltimore, MD 21218
Phone (410) 554-4455

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5601 Loch Raven Blvd
Ste 104
Baltimore, MD 21239
Phone (410) 464-1424

5601 Loch Raven Blvd
#S104
Baltimore, MD 21239

1629 York Rd
Ste A
Luthvle Timon, MD 21093
Phone (410) 299-1388

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJJIBD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1962428979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST STE 360",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "443-552-2653",
            "fax_number": "410-554-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST BLDG SUITE631",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "443-552-2653",
            "fax_number": "410-554-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKANI",
        "first_name": "ALAN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D35559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "522047995",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563200500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPTIMUM CHOICE",
            "identifier": "67262",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004233654",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1351840",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.