St Agnes Healthcare Inc is a Internal Medicine Physician (organization) practicing in Baltimore, Maryland. The National Provider Identifier (NPI) is #1144250176, which was assigned on July 4, 2006, and the registration record was last updated on June 2, 2025. The practitioner's main practice location is at 900 Caton Ave, Baltimore, MD 21229-5201; the contact telephone number is 6672342149, and the fax number is 6672348644. The primary taxonomy of St Agnes Healthcare Inc is Internal Medicine Physician (207R00000X). The authorized official for St Agnes Healthcare Inc is Mr. William B Higginbotham (President/Ceo).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
| NPI | 1144250176 |
| Entity Type | Organization |
| Organization Name | ST AGNES HEALTHCARE INC |
| Provider Name | ST AGNES HEALTHCARE INC |
| Practice Address |
900 Caton Ave Baltimore MD 21229-5201 |
| Practice Telephone | 6672342149 |
| Practice Fax Number | 6672348644 |
| Mailing Address |
3585 Washington Blvd Halethorpe MD 21227-1676 |
| Mailing Telephone | 6672342149 |
| Mailing Fax Number | 6672348644 |
| Certification Date | 2025-06-02 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2025-06-02 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | ST AGNES HEALTHCARE INC |
| Official Name | MR. WILLIAM B HIGGINBOTHAM |
| Official Title | PRESIDENT/CEO |
| Telephone | 6672343162 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 207VM0101X | Obstetrics & Gynecology | Maternal & Fetal Medicine | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 207X00000X | Orthopaedic Surgery | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 208000000X | Pediatrics | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 2084N0400X | Psychiatry & Neurology | Neurology | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 2084P0800X | Psychiatry & Neurology | Psychiatry | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 208600000X | Surgery | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 208M00000X | Hospitalist | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 363A00000X | Physician Assistant | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 363L00000X | Nurse Practitioner | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 207RC0000X | Internal Medicine | Cardiovascular Disease | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 207RC0200X | Internal Medicine | Critical Care Medicine | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 207RX0202X | Internal Medicine | Medical Oncology | 193200000X MULTI-SPECIALTY GROUP | ||
| Y | 207R00000X | Internal Medicine | 193200000X MULTI-SPECIALTY GROUP |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 216121400 | MD | MEDICAID | |
| W662 | MD | CAREFIRST BCBS | Other |
| Other Organization Name | Type |
|---|---|
| INTEGRATED SPECIALISTS GROUP | Doing Business As Name |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| Classification | Obstetrics & Gynecology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| Classification | Orthopaedic Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| Classification | Pediatrics |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| Code | 208600000X |
| Taxonomy | Surgery Physician |
| Classification | Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| Classification | Hospitalist |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition added] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Noant Health Medical Group, LLC | 612 Mocksville Ave, Salisbury, NC 28144-2732 | Internal Medicine Physician | 2025-11-07 |
| Johns Hopkins University | 5200 Eastern Ave, Baltimore, MD 21224-2734 | Internal Medicine Physician | 2025-11-07 |
| Mcv Health Group LLC | 18 Calle Ramon E. Betances N, Mayaguez, PR 00680-5406 | Internal Medicine Physician | 2025-11-07 |
| Onyx Med Clinic Inc | 10653 Riverside Dr, North Hollywood, CA 91602-2341 | Internal Medicine Physician | 2025-11-05 |
| M Management Group, LLC | 550 S Carlin Springs Rd, Arlington, VA 22204-1022 | Internal Medicine Physician | 2025-11-06 |
| Sr Kester Medical Clinic | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | Internal Medicine Physician | 2025-11-06 |
| Align Health Inc | 1135 11th Ave, Honolulu, HI 96816-2408 | Internal Medicine Physician | 2025-11-08 |
| Charu Sawhey Do Mph PLLC | 171 Deep Wood Dr Ste 103, Round Rock, TX 78681-4935 | Internal Medicine Physician | 2025-11-06 |
| Johns Hopkins University | 10710 Charter Dr Ste 310, Columbia, MD 21044-3260 | Internal Medicine Physician | 2025-11-07 |
| Hospitalists Telemedicine Group, LLC | 6125 Saxlingham Pl, Smyrna, TN 37167-2252 | Internal Medicine Physician | 2025-11-04 |
| Find all providers with the same taxonomy | |||
| Street Address |
3585 WASHINGTON BLVD |
| City | HALETHORPE |
| State | MD |
| Zip Code | 21227-1676 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dispatchhealth-Arizona | 3700 Koppers St Ste 150, Baltimore, MD 21227-1042 | Emergency Medicine Physician | 2024-08-09 |
| Advanced Spine and Pain Centers, PLLC | 3720 Washington Blvd Ste 100, Halethorpe, MD 21227-1660 | Interventional Pain Medicine Physician | 2025-10-23 |
| Genesis Physiatry Consultants LLC | 3320 Benson Ave, Halethorpe, MD 21227-1035 | Physical Medicine & Rehabilitation Physician | 2022-12-05 |
| Ryse Health Maryland Physicians, PC | 3700 Koppers St Ste 510, Baltimore, MD 21227-1051 | Endocrinology, Diabetes & Metabolism Physician | 2022-01-11 |
| Resolution Health and Wellness Center, LLC | 1401 S Edgewood St Ste 100, Halethorpe, MD 21227-1145 | Primary Care Nurse Practitioner | 2025-09-11 |
| Erin Michelle Saunders | 3424 Annapolis Rd, Baltimore, MD 21227-1117 | Family Nurse Practitioner | 2025-07-22 |
| Deshawna D Brown | 4816 Fernley Sq Apt 1, Halethorpe, MD 21227-1360 | Social Worker | 2025-10-02 |
| Apex Healthcare, LLC | 3308 Benson Ave, Baltimore, MD 21227-1035 | Cardiovascular Disease Physician | 2025-05-21 |
| Wal-Mart Stores East Lp | 3601 Washington Blvd, Arbutus, MD 21227-1627 | Durable Medical Equipment & Medical Supplies | 2007-07-23 |
| Apex Healthcare, LLC | 3320 Benson Ave, Halethorpe, MD 21227-1035 | Cardiovascular Disease Physician | 2025-05-21 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| St.Agnes Healthcare Professionals,Inc | 12202 Dover St, Houston, TX 77031-2826 | In Home Supportive Care Agency | 2006-07-29 |
| Kristen Agnes Wassel · Kristen Agnes Cronin | 2793 Geryville Pike, Pennsburg, PA 18073-2306 | Physician Assistant | 2005-07-14 |
| Agnes Felix | 94-210 Pupukahi St Ste 207, Waipahu, HI 96797-2649 | Clinical Psychologist | 2007-01-03 |
| Agnes Kontoh | 7 Lincoln Hwy Ste 224, Edison, NJ 08820-3965 | Clinical Social Worker | 2025-07-09 |
| Catherine Agnes Bracks · Catherine Agnes Greenock | 5022 Old Godsey Ln, Suite 3, Hixson, TN 37343-6600 | Hand Occupational Therapist | 2007-02-19 |
| Mary Agnes Pavlovich Lewis | 750 E Adams St Rm 4143, Syracuse, NY 13210-2306 | Student in an Organized Health Care Education/Training Program | 2020-03-24 |
| Agnes Edwards | 606 Black River Rd, Georgetown, SC 29440 | Clinical Social Worker | 2015-04-23 |
| Agnes Patenaude | 1905 Windom Way, Madison, WI 53704-3353 | Registered Nurse | 2017-09-13 |
| Agnes T Stockell | 5060 Logan Ave, San Diego, CA 92113-3014 | Dentist | 2017-09-19 |
| Agnes Ioo Healthcare Services, Inc. | 11908 Prospect View Ave, Glenn Dale, MD 20769-9473 | Home Health Agency | 2025-10-03 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |