Individual provider Active NPI

Muhammad Haroon Burhanullah, M.D.

  • Geriatric Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1972824340
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
D80340 Issued in MD
Practice address
5300 Alpha Commons Dr. 4TH FL # 417
Johns Hopkins University School of Medicine
Baltimore, MD 21224
Phone
(410) 550-7428
NPI assigned
Jun 19, 2010
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 29205 WV
Psychiatry Physician 2084P0800X MD456179 PA
Psychiatry Physician 2084P0800X 281998 NY
Psychiatry Physician 2084P0800X D80340 MD
Psychiatry Physician 2084P0800X A166326 CA
Geriatric Psychiatry Physician 2084P0805X D80340 MD Primary

Addresses

Primary practice location

5300 Alpha Commons Dr. 4TH FL # 417
Johns Hopkins University School of Medicine
Baltimore, MD 21224

Mailing address

13822 Mill Creek CT
Clarksville, MD 21029-1040
Phone (410) 550-1089

Other practice location 1

333 Laidley St Fl 4W
Charleston, WV 25301-1614
Phone (304) 766-4560

Other practice location 2

333 Laidley St Fl 4E
Charleston, WV 25301-1614
Phone (304) 766-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160104002041 MD Practitioner - Psychiatry 6204146707 Reassigns benefits to 2 organizations
I20201207002376 GA Practitioner - Psychiatry 6204146707 Reassigns benefits to 1 organization
I20221208001918 WV Practitioner - Psychiatry 6204146707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

10755 Falls Rd
Lutherville, MD 21093-4515
Phone (443) 997-0400

333 Laidley St
Charleston, WV 25301-1614
Phone (304) 766-4560

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

5300 Alpha Commons Dr
FL 1
Baltimore, MD 21224-2764
Phone (410) 847-3770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166326CAMDPsychiatry Physician
281998NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. Psychiatry CurrentSince Dec 5, 2015 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2016 Accepting new patients
THS Physician Partners Inc Psychiatry CurrentSince Oct 1, 2022 Accepting new patients
Johns Hopkins University Psychiatry CurrentSince Jul 1, 2016 Accepting new patients
Johns Hopkins University Current Accepting new patients
Grace Medical Center, Inc. CurrentSince Dec 5, 2015 Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

600 N Wolfe St
Baltimore, MD 21287

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

L3539
Columbus, OH 43260
Phone (304) 414-4800

333 Laidley St
Fl 4E
Charleston, WV 25301
Phone (304) 766-4560

333 Laidley St
Fl 4W
Charleston, WV 25301
Phone (304) 766-4560

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Interoperability endpoints

  • Direct secure messaging: mburhanullah191401@direct.hopkinsmedicine.org

Organizations & group practices 9

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.

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": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1972824340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13822 MILL CREEK CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291040",
            "telephone_number": "410-550-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ALPHA COMMONS DR. 4TH FL # 417",
            "address_2": "JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-550-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Laidley St Fl 4W",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-766-4560",
            "fax_number": "304-766-4599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Laidley St Fl 4E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-766-4560",
            "fax_number": "304-766-4599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURHANULLAH",
        "first_name": "MUHAMMAD",
        "middle_name": "HAROON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-19",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "29205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD456179",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "281998",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D80340",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A166326",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MD",
            "license": "D80340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.