1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MARIO ALBERTO O'CONNOR CORDOVA MD
NPI 1063350866
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 23, 2026PECOS Enrolled
1800 ORLEANS ST # TOWER110, BALTIMORE, MD 21287(410) 955-5020 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario Alberto O'connor Cordova Md NPPES

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

MARIO ALBERTO O'CONNOR CORDOVA MD (NPI 1063350866) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063350866
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARIO ALBERTO O'CONNOR CORDOVACredential: MD
Location Address1800 ORLEANS ST # TOWER110Baltimore, MD 21287-0010
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 955-5020 · Fax (410) 500-4266
Phone(410) 955-5020
Sole ProprietorNo
Enumeration DateMarch 23, 2026
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1063350866 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.
1800 ORLEANS ST # TOWER110, Baltimore, MD 21287
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario Alberto O'connor Cordova Md 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 3

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

DR. PATRICK BOU-SAMRA MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287
Baltimore City (410) 955-2050
LATOYA STEWART
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287
Baltimore City (410) 955-5020
NATASHA GUPTA MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS ST # TOWER110
BALTIMORE, MD 21287
Baltimore City (410) 955-5020

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 Mario O'connor Cordova's NPI number?

The NPI number for Mario O'connor Cordova is 1063350866. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Mario O'connor Cordova located?

Mario O'connor Cordova practices at 1800 Orleans St # Tower110, Baltimore, MD 21287. The listed phone number is (410) 955-5020.

What is Mario O'connor Cordova's specialty?

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

Is Mario O'connor Cordova enrolled in Medicare?

Yes. Mario O'connor Cordova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario O'connor Cordova was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.