ALISHA DENISE WARE MD
NPI 1356728414
Pathology - Anatomic Pathology & Clinical Pathology in Baltimore, MD

NPI Status: Active since April 28, 2015

Contact Information

600 N WOLFE STREET
BALTIMORE, MD
ZIP 21264
Phone: (410) 955-5000

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  • Individual
  • Female
  • Years of Experience 11
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About ALISHA WARE

This page provides the complete NPI Profile along with additional information for Alisha Ware, a provider established in Baltimore, Maryland with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 11 years of experience. She graduated from University Of Virginia School Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1356728414 assigned on April 2015. The practitioner's primary taxonomy code is 207ZP0102X with license number D88677 (MD). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1356728414
Provider Name
ALISHA DENISE WARE MD
Other Name
ALISHA DENISE GORDY
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
600 N WOLFE STREET BALTIMORE, MD 21264
Location Phone
(410) 955-5000
Mailing Address
6201 GREENLEIGH AVE MIDDLE RIVER, MD 21220
Mailing Phone
(410) 933-6423
Mailing Fax
Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
04-28-2015
Last Update Date
10-08-2024
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Location Map

Secondary Locations

  • 101 Manning Dr
    Chapel Hill, NC 27514
    (984) 974-9138

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
D88677
License State
MD
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZH0000XAllopathic & Osteopathic Physicians

Pathology
Hematology

2022-01402 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Alisha Ware is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Alisha Ware is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7012237001

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200618000014

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Blood smear interpretation by physician with written report

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

This service was performed 49 times for 47 patients

Bone marrow, smear interpretation

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

This service was performed 79 times for 68 patients

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 14 times for 12 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

This service was performed 75 times for 73 patients

Flow cytometry technique for dna or cell analysis, 2 to 8 markers

Flow cytometry is a technique that helps analyze your cells and DNA. It uses lasers to identify and sort cells based on their properties, marked by up to 8 different markers. This helps in diagnosing and monitoring various health conditions.

This service was performed 18 times for 16 patients

Flow cytometry technique for dna or cell analysis, 9 to 15 markers

Flow cytometry is a technique used to measure physical and chemical characteristics of cells or particles. It can analyze multiple markers (9 to 15) on a cell, helping to identify its type and function. This process can also examine DNA within cells for any abnormalities.

This service was performed 46 times for 45 patients

Genetic sequencing localization, each additional procedure

Genetic sequencing localization is a process where specific regions of your DNA are identified and studied. If you're having additional procedures, it simply means that more areas of your DNA are being examined. This helps to understand your genetic makeup better and can assist in identifying potential health risks.

This service was performed 16 times for 16 patients

Genetic sequencing localization, initial procedure

Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.

This service was performed 22 times for 22 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 223 times for 131 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 140 times for 125 patients

Screening examination of specimen cells, screening and interpretation

A screening examination of specimen cells involves studying a small sample of cells from your body. This helps identify any unusual or abnormal cells, providing valuable information about your health. The process includes both the screening and interpretation of the results.

This service was performed 82 times for 67 patients

Special stained specimen slides to examine tissue including interpretation and report

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

This service was performed 118 times for 84 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 359 times for 86 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 116 times for 92 patients

Surgical pathology consultation and report, comprehensive

A comprehensive surgical pathology consultation and report involves the detailed examination of tissue removed during surgery. This process aids in diagnosing diseases, assessing the extent of illness, and planning appropriate treatments. The findings are then compiled into a report for your doctor.

This service was performed 21 times for 20 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21264 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $139.05
  • Minimum New Patient Price $60.73
  • Maximum New Patient Price $183.44
  • Average New Patient Copayment $34.76
  • Minimum New Patient Copayment $15.18
  • Maximum New Patient Copayment $45.86

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.59
  • Minimum Established Patient Price $19.6
  • Maximum Established Patient Price $149.17
  • Average Established Patient Copayment $26.64
  • Minimum Established Patient Copayment $4.9
  • Maximum Established Patient Copayment $37.29

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alisha Ware is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHNS HOPKINS HOSPITAL, THE600 NORTH WOLFE STREET
BALTIMORE, MD 21287
(410) 955-5000Acute Care Hospitals
JOHNS HOPKINS BAYVIEW MEDICAL CENTER4940 EASTERN AVENUE
BALTIMORE, MD 21224
(410) 550-0123Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356728414, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 4 + 2 + 1 + 6 + 4 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1356728414.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
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Radiology (Neuroradiology)
600 N WOLFE STREET
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Physical Therapist
600 N WOLFE STREET
BALTIMORE, MD 21264
Speech-Language Pathologist
600 N WOLFE STREET
BALTIMORE, MD 21264
Radiology (Diagnostic Radiology)
600 N WOLFE STREET
BALTIMORE, MD 21264
Ophthalmology
600 N WOLFE STREET
BALTIMORE, MD 21264
Radiology (Diagnostic Radiology)
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Pathology (Clinical Pathology/Laboratory Medicine)
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Internal Medicine
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264
Student in an Organized Health Care Education/Training Program
600 N WOLFE STREET
BALTIMORE, MD 21264

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356728414, enumerated as an "individual" on April 28, 2015.

The provider is located at 600 N WOLFE STREET BALTIMORE, MD 21264 and the phone number is (410) 955-5000.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.

Alisha Ware is affiliated with: JOHNS HOPKINS HOSPITAL, THE and JOHNS HOPKINS BAYVIEW MEDICAL CENTER.