DR. KELSIE MARIE MIETLA MD
NPI 1396365771
Internal Medicine in Baltimore, MD
About Dr. Kelsie Marie Mietla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELSIE MARIE MIETLA MD (NPI 1396365771) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D99088) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and maintains a secondary practice location in Charlottesville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelsie Marie Mietla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsie Mietla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21215
- Reassigned Medicare billing, Maryland enrollment
- 664 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sinai Hospital Of Baltimore
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21215
BALTIMORE, MD 21215
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 Kelsie Mietla's NPI number?
The NPI number for Kelsie Mietla is 1396365771. It was assigned to this individual provider in the NPPES registry on April 25, 2020.
Where is Kelsie Mietla located?
Kelsie Mietla practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (410) 601-6419.
What is Kelsie Mietla's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kelsie Mietla enrolled in Medicare?
Yes. Kelsie Mietla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelsie Mietla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsie Mietla reassigns Medicare benefits to Sinai Hospital Of Baltimore Inc (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 Kelsie Mietla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsie Mietla affiliated with any hospitals?
According to CMS data, Kelsie Mietla is affiliated with Sinai Hospital Of Baltimore.
When was this NPI record last updated?
The NPPES record for Kelsie Mietla was last updated on January 17, 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.
# Dr. Kelsie Marie Mietla, MD · NPI 1396365771
Internal Medicine physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 25, 2020.
## Identity
- **NPI:** 1396365771 (Entity type: Individual)
- **Enumerated:** April 25, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D99088 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 W BELVEDERE AVE, Baltimore, MD 21215-5216
- **Phone:** (410) 601-6419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sinai Hospital Of Baltimore Inc (NPI 1043235666, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2020
## Record status
- **NPPES last updated:** January 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396365771) · Data from the CMS NPPES public registry.