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DEREK MASON MD, MPH
NPI 1003550633
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 20, 2022PECOS Enrolled
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0100 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derek Mason Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK MASON MD, MPH (NPI 1003550633) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003550633
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK MASONCredential: MD, MPH
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address20216 Willowbend LnParker, CO 80138-7116 · (720) 448-3089
Phone(410) 550-0100
Sole ProprietorNo
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1003550633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4940 EASTERN AVE, Baltimore, MD 21224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Mason Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology (Gynecology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
DAVID KERN M.D., M.P.H.
Internal Medicine
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Mason's NPI number?

The NPI number for Derek Mason is 1003550633. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Derek Mason located?

Derek Mason practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0100.

What is Derek Mason's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Derek Mason enrolled in Medicare?

Yes. Derek Mason is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Mason was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.