Individual provider Active NPI

Michelle M. a. Igbani, M.D.

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1972863538
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
280862 Issued in NY
Practice address
110 S Paca St
Baltimore, MD 21201-1642
Phone
(410) 328-4931
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 280862 NY Primary

Addresses

Primary practice location

110 S Paca St
Baltimore, MD 21201-1642

Mailing address

110 S Paca St
Baltimore, MD 21201-1642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD, TX3 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
I20151005002054 NY Practitioner - Emergency Medicine 0840508230 Reassigns benefits to 1 organization
I20160722000436 MD Practitioner - Emergency Medicine 0840508230 Reassigns benefits to 5 organizations
I20260409000865 TX Practitioner - Emergency Medicine 0840508230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Soldier Creek Dr
Rosebud, SD 57570-8502

Hospital & facility affiliations

  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Apr 13, 2020 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Grace Medical Center, Inc. Current Accepting new patients
Mep Observation Services LLC CurrentSince May 1, 2020 Accepting new patients
Mep Observation Services LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
University of Maryland Midtown Health Inc CurrentSince Oct 15, 2021 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 26, 2016 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 26, 2016 Accepting new patients
Grace Medical Center, Inc. CurrentSince Aug 1, 2016 Accepting new patients
West Baltimore Emergency Medicine Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

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

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

Organizations & group practices 12

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 2

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": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1972863538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBANI",
        "first_name": "MICHELLE",
        "middle_name": "M. A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "280862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.