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DR. JOANN N BODURTHA M.D.
NPI 1336225028
Medical Genetics - Clinical Genetics (M.D.) in Baltimore, MD

Active since October 27, 2006PECOS Enrolled
74.39/100
CMS Quality Rating
600 N WOLFE ST, BLALOCK 1012 D MEDICAL GENETICS, BALTIMORE, MD 21287(410) 955-1699(410) 614-9246 Get Directions Write a Review

NPPES record last updated: December 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1336225028
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameDR. JOANN N BODURTHACredential: M.D.
Location Address600 N WOLFE ST, BLALOCK 1012 D MEDICAL GENETICSBaltimore, MD 21287-0005
Mailing AddressPo Box 64316Baltimore, MD 21264-4316
Phone(410) 955-1699
Fax(410) 614-9246
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateDecember 10, 2016
✔ NPI 1336225028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Licenses✔ Licensed in MD · D73075✔ Licensed in VA · 0101036738
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X · License 0101036738 (VA)
600 N WOLFE ST, Baltimore, MD 21287
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINB62126
Medicare PIN229020Y64MD
Medicaid049028800MD
Medicaid6756964VA

Medicare Participation & PECOS CMS

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

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).

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 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 20

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

PAMELA KIMZEY DONOHUE SCD, PA-C
Physician Assistant (Medical)
600 N WOLFE ST, NELSON 2-133
BALTIMORE, MD 21287
Baltimore City (410) 955-5232
MR. CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Physician Assistant
600 N WOLFE ST, MARBURG B-186
BALTIMORE, MD 21287
Baltimore City (410) 955-8708
DR. SABRINA CHRISTINE SOPHA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3580
SANDRA KING D.H.
Dental Hygienist
600 N WOLFE ST, BLALOCK 266
BALTIMORE, MD 21287
Baltimore City (410) 955-6662
THERESA J RUDDY C.P.N.P., CRNP
Nurse Practitioner (Acute Care)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5260
DR. SUMAN PAUL M.B.B.S, PHD
Internal Medicine (Medical Oncology)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MS. SARAH CATHERINE COLLICA
Psychiatry & Neurology (Psychiatry)
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (443) 287-4701
JEFF S EHRESMAN
Student in an Organized Health Care Education/Training Program
600 N WOLFE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000

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.

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.