Individual provider Active NPI

Stephanie Kim Nothelle, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1962701532
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D77473 Issued in MD
Practice address
4940 Eastern Ave
Geriatric Medicine/Suite 2200
Baltimore, MD 21224-2735
Phone
(410) 550-0925
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D77473 MD Primary

Addresses

Primary practice location

4940 Eastern Ave
Geriatric Medicine/Suite 2200
Baltimore, MD 21224-2735

Mailing address

4940 Eastern Ave
Geriatric Medicine/Suite 2200
Baltimore, MD 21224-2735
Phone (410) 550-0925

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
I20140731000518 MD Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0446409361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Indiana University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

5501 Hopkins Bayview Cir
Baltimore, MD 21224-6821
Phone (410) 550-0545

5505 Hopkins Bayview Cir
Baltimore, MD 21224-6821
Phone (410) 550-0756

5901 Holabird Ave
Suite a
Baltimore, MD 21224-6015
Phone (410) 288-8000

6201 Greenleigh Ave
Middle River, MD 21220-2004

Hospital & facility affiliations

  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081
  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Oct 1, 2025 Accepting new patients
Johns Hopkins University CurrentSince Jun 9, 2018 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Johns Hopkins University CurrentSince Jun 9, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Johns Hopkins Bayview Medical Center Inc Past Accepting new patients

Locations

4940 Eastern Ave
#2200
Baltimore, MD 21224
Phone (410) 550-0925

4940 Eastern Ave
Baltimore, MD 21224

600 N Wolfe St
Baltimore, MD 21287

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • Direct secure messaging: snothelle7351@direct.hopkinsmedicine.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1962701532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "GERIATRIC MEDICINE/SUITE 2200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "GERIATRIC MEDICINE/SUITE 2200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTHELLE",
        "first_name": "STEPHANIE",
        "middle_name": "KIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D77473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.