LYDIA DURHAM CPNP-AC
NPI 1316716749
Nurse Practitioner - Pediatrics, Critical Care in Baltimore, MD
About Lydia Durham Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA DURHAM CPNP-AC (NPI 1316716749) is an individual pediatrics, critical care provider in Baltimore, Maryland, licensed in Maryland (R225877) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lydia Durham Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lydia Durham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Pediatric Associates, PA
- 172 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 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Lydia Durham's NPI number?
The NPI number for Lydia Durham is 1316716749. It was assigned to this individual provider in the NPPES registry on December 27, 2023.
Where is Lydia Durham located?
Lydia Durham practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-8667.
What is Lydia Durham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Lydia Durham enrolled in Medicare?
Yes. Lydia Durham is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lydia Durham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Durham reassigns Medicare benefits to University Of Maryland Pediatric Assoc PA (Baltimore, MD). The 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 Lydia Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lydia Durham was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lydia Durham, CPNP-AC · NPI 1316716749
Pediatrics, Critical Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since December 27, 2023.
## Identity
- **NPI:** 1316716749 (Entity type: Individual)
- **Enumerated:** December 27, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** R225877 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1590
- **Phone:** (410) 328-8667
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Maryland Pediatric Assoc PA (NPI 1174628580, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316716749) · Data from the CMS NPPES public registry.