Johns Hopkins University
NPI 1104816172ActiveOrganization· Internal Medicine, Geriatric Medicine· Baltimore, MD
Internal Medicine, Geriatric Medicine in Baltimore, Maryland, registered in NPPES in October 2005, part of Johns Hopkins University. The authorized official on file is Shavonda L. Keating, Sr Production Unit Mgr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104816172 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Johns Hopkins University |
| NPI issued | Oct 21, 2005 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Mar 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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