DR. JOANN N BODURTHA M.D.
NPI 1336225028
Medical Genetics - Clinical Genetics (M.D.) in Baltimore, MD
About Dr. Joann N Bodurtha M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOANN N BODURTHA M.D. (NPI 1336225028) is an individual clinical genetics (m.d.) provider in Baltimore, Maryland, licensed in Maryland (D73075) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Joann N Bodurtha M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Joann Bodurtha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21205
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Baltimore Medical System, Inc.
- 243 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.
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.
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 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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 Joann Bodurtha's NPI number?
The NPI number for Joann Bodurtha is 1336225028. It was assigned to this individual provider in the NPPES registry on October 27, 2006.
Where is Joann Bodurtha located?
Joann Bodurtha practices at 600 N Wolfe St Blalock 1012 D Medical Genetics, Baltimore, MD 21287. The listed phone number is (410) 955-1699.
What is Joann Bodurtha's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Joann Bodurtha enrolled in Medicare?
Yes. Joann Bodurtha is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Joann Bodurtha's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joann Bodurtha reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Baltimore Medical Systems, Inc. (Baltimore, MD). 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 Joann Bodurtha'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 Joann Bodurtha was last updated on December 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Joann N Bodurtha, M.D. · NPI 1336225028
Clinical Genetics (M.D.) physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1336225028 (Entity type: Individual)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** D73075 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 N WOLFE ST, BLALOCK 1012 D MEDICAL GENETICS, Baltimore, MD 21287-0005
- **Phone:** (410) 955-1699 · **Fax:** (410) 614-9246
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1033190442, Baltimore, MD); Baltimore Medical Systems, Inc. (NPI 1164138152, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2016
- **Other identifiers:** Medicare UPIN B62126; Medicare PIN 229020Y64 (MD); Medicaid 049028800 (MD); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336225028) · Data from the CMS NPPES public registry.