LIA PENN
NPI 1376162768
Internal Medicine - Addiction Medicine in Baltimore, MD

Q: What is Lia Penn's NPI number?

The NPI number for Lia Penn is 1376162768. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Lia Penn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Lia Penn was last updated on May 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2020PECOS Enrolled

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0100 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lia Penn NPPES

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

LIA PENN (NPI 1376162768) is an individual addiction medicine provider in Baltimore, Maryland, licensed in Maryland (D0098675) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Pennsylvania State University College Of Medicine (2020).

NPPES Registry Identity

NPI1376162768

Entity TypeIndividualFemale

Primary Taxonomy207RA0401X

Provider Legal NameLIA PENN

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266

Phone(410) 550-0100

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2020

Enumeration DateApril 15, 2020

Last NPPES UpdateMay 30, 2024

NPPES CertifiedMay 30, 2024

✔ NPI 1376162768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in MD · D0098675

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

4940 EASTERN AVE, Baltimore, MD 21224

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lia Penn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961832654

PECOS Enrollment IDI20240605001294

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210009

Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology