| Johns Hopkins University | |
|
10803 Falls Rd Lutherville MD 21093-4518 | |
| (410) 532-4714 | |
| Not Available |
| Full Name | Johns Hopkins University |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 10803 Falls Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johns Hopkins University Po Box 64407 Baltimore MD 21264-4407 Ph: () - | Johns Hopkins University 10803 Falls Rd Lutherville MD 21093-4518 Ph: (410) 532-4714 |
| NPI Number | 1831195502 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/27/2025 |
| Medicare PECOS PAC ID | 4981745098 |
|---|---|
| Medicare Enrollment ID | O20160831000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831195502 | NPI | - | NPPES |
| 040535900 | Medicaid | DC | |
| 359501300 | Medicaid | MD | |
| CA7788 | Other | MD | RRMC |
| Provider Name | Akhil Chhatre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861665952 PECOS PAC ID: 4688863384 Enrollment ID: I20160831000491 |
| Provider Name | Jessica Engle |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194017731 PECOS PAC ID: 5395024061 Enrollment ID: I20161121001186 |
| Provider Name | Ayesha Khan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376955088 PECOS PAC ID: 6608095641 Enrollment ID: I20190115000289 |
| Provider Name | Kenneth Silver |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326078882 PECOS PAC ID: 1355316944 Enrollment ID: I20190715002086 |
| Provider Name | Stephanie Van |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225423395 PECOS PAC ID: 6305117599 Enrollment ID: I20211101001129 |
| Provider Name | Julio Cesar Gomez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942562426 PECOS PAC ID: 4587056874 Enrollment ID: I20220118002700 |
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