MIRA HENIEN MD
NPI 1184283905
Obstetrics & Gynecology in Baltimore, MD

Active since June 06, 2019PECOS EnrolledAccepts Medicare Assignment
74.39/100
CMS Quality Rating
4940 EASTERN AVENUE, BALTIMORE, MD 21264(410) 550-0337(410) 550-0196 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2023, Jun 6, 2019 (2 updates tracked since 2019).

About Mira Henien Md NPPES

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

MIRA HENIEN MD (NPI 1184283905) is an individual obstetrics & gynecology provider in Baltimore, Maryland, licensed in Maryland (D96864) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Drexel University College Of Medicine (2019).

NPPES Registry Identity

NPI1184283905
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMIRA HENIENCredential: MD
Location Address4940 EASTERN AVENUEBaltimore, MD 21264-3307
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423
Fax(410) 550-0196
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2019
Enumeration DateJune 6, 2019
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1184283905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MD · D96864✔ Licensed in VA · 0116032903
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.
4940 EASTERN AVENUE, Baltimore, MD 21264

Secondary Practice Locations 2

Location 13300 Gallows RdFalls Church, VA 22042-3307 · Phone (703) 776-4001
Location 25255 Loughboro Rd NW Ste 1020Washington, DC 20016-2633 · Phone (202) 537-4577 · Fax (202) 243-2369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mira Henien Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547596520
PECOS Enrollment IDI20240819003215
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mira Henien reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
5501 HOPKINS BAYVIEW CIR, ROOM 1A20
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Obstetrics & Gynecology
10753 FALLS ROAD PAVILION II, SUITE 245
Lutherville, MD 21093
  • Reassigned Medicare billing, District of Columbia enrollment
  • 29 clinicians in this Medicare group
Internal Medicine
7350 VAN DUSEN RD STE 260
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • 328 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21264 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Women's Health)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Radiology (Diagnostic Radiology)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Nurse Practitioner (Neonatal)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Obstetrics & Gynecology (Reproductive Endocrinology)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Radiology (Diagnostic Radiology)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Radiology (Diagnostic Radiology)
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Physician Assistant
4940 EASTERN AVENUE
BALTIMORE, MD 21264
Internal Medicine
4940 EASTERN AVENUE
BALTIMORE, MD 21264

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 Mira Henien's NPI number?

The NPI number for Mira Henien is 1184283905. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Mira Henien located?

Mira Henien practices at 4940 Eastern Avenue, Baltimore, MD 21264. The listed phone number is (410) 550-0337.

What is Mira Henien's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mira Henien enrolled in Medicare?

Yes. Mira Henien is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mira Henien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mira Henien reassigns Medicare benefits to 4 organizations: Johns Hopkins University (Baltimore, MD), Johns Hopkins University (Lutherville, MD), Dimensions Healthcare Associates Inc (Laurel, MD) and Multicare Health System (Spokane Valley, WA). Each 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 Mira Henien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mira Henien accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mira Henien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mira Henien was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.