Individual provider Active NPI

Chinwe Obiaga Mahaley, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1982967485
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0080033 Issued in MD
Practice address
2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231
Phone
(410) 601-9300
Fax
(410) 601-9499
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0080033 MD Primary

Addresses

Primary practice location

2411 W Belvedere Ave Ste 402
Baltimore, MD 21215-5231

Mailing address

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmahaley@direct.lifebridgehealth.org Sinai Hospital Lifebridge Health

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
I20150827001483 MD Practitioner - Pediatric Medicine 3678889284 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0080033MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Pediatrics CurrentSince Aug 6, 2015 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Aug 6, 2015 Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2411 W Belvedere Ave
Ste 402
Baltimore, MD 21215
Phone (410) 601-8314

5101 Lanier Ave
Baltimore, MD 21215
Phone (410) 542-7800

Organizations & group practices 3

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1982967485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-9300",
            "fax_number": "410-601-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 402",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155231",
            "telephone_number": "410-601-9300",
            "fax_number": "410-601-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHALEY",
        "first_name": "CHINWE",
        "middle_name": "OBIAGA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0080033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmahaley@direct.lifebridgehealth.org",
            "affiliation": "Y",
            "affiliationName": "Sinai Hospital Lifebridge Health",
            "address_1": "2401 W Belvedere Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212155216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.