VICTORIA ALYSE COAXUM MD
NPI 1356044796
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 24, 2023PECOS Enrolled
22 S GREENE ST, BALTIMORE, MD 21201(410) 328-5959 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victoria Alyse Coaxum Md NPPES

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

VICTORIA ALYSE COAXUM MD (NPI 1356044796) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356044796
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVICTORIA ALYSE COAXUMCredential: MD
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing Address22 S Greene StBaltimore, MD 21201-1544
Sole ProprietorNo
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
NPI 1356044796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22 S GREENE ST, Baltimore, MD 21201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Victoria Alyse Coaxum Md 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.

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.

Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST, N3E09
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 Victoria Coaxum's NPI number?

The NPI number for Victoria Coaxum is 1356044796. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Victoria Coaxum located?

Victoria Coaxum practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-5959.

What is Victoria Coaxum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Victoria Coaxum enrolled in Medicare?

Yes. Victoria Coaxum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Coaxum was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.