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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lia Penn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johns Hopkins University
Same address
Plastic Surgery
4940 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Also billed through NPI 1942812144 (Maryland)
  • 4,483 clinicians in this Medicare group
NPI 1275515546 (410) 550-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 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.

Where is Lia Penn located?

Lia Penn practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0100.

What is Lia Penn's specialty?

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

Is Lia Penn enrolled in Medicare?

Yes. Lia Penn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lia Penn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lia Penn reassigns Medicare benefits to Johns Hopkins University (Baltimore, MD). The 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 Lia Penn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lia Penn affiliated with any hospitals?

According to CMS data, Lia Penn is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Lia Penn was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.