ST. AGNES LAB SERVICES
NPI 1164462925
Clinical Medical Laboratory in Baltimore, MD
About St. Agnes Lab Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. AGNES LAB SERVICES (NPI 1164462925) is a healthcare organization registered as a clinical medical laboratory in Baltimore, Maryland and active in the NPI registry since June 2006. The organization lists Keith Vander Kolk, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
St. Agnes Lab Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by January 31, 2027
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
372Medicare enrollment records show 372 clinicians reassign Medicare billing to St. Agnes Lab Services, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 189 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 37
Nearest to this location (20)
See all 372Baltimore, MD 21229
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 39
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 St. Agnes Healthcare, Inc.'s NPI number?
The NPI number for St. Agnes Healthcare, Inc. is 1164462925. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as St. Agnes Lab Services.
Where is St. Agnes Healthcare, Inc. located?
St. Agnes Healthcare, Inc. is located at 900 Caton Ave, Baltimore, MD 21229. The listed phone number is (667) 234-3060.
What is St. Agnes Healthcare, Inc.'s specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is St. Agnes Healthcare, Inc. enrolled in Medicare?
Yes. St. Agnes Healthcare, Inc. is registered in the Medicare PECOS enrollment system.
When is St. Agnes Healthcare, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), St. Agnes Healthcare, Inc. holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Non-DME Part B, Maryland, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through St. Agnes Healthcare, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 372 clinicians in 37 Medicare specialties reassign their Medicare billing to St. Agnes Healthcare, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (42), Obstetrics/Gynecology (42) and Nurse Practitioner (41). Of these, 44 practice at this address and 189 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for St. Agnes Healthcare, Inc. was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.