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JOSHUA PETER GILLEN
NPI 1417759713
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 26, 2025PECOS Enrolled
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC, BALTIMORE, MD 21224(410) 550-3350 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joshua Peter Gillen NPPES

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

JOSHUA PETER GILLEN (NPI 1417759713) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417759713
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSHUA PETER GILLEN
Location Address4940 EASTERN AVENUE, INTERNAL MEDICINE CLINICBaltimore, MD 21224
Mailing Address4940 Eastern AveBaltimore, MD 21224-2735 · (410) 550-3350
Phone(410) 550-3350
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1417759713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
4940 EASTERN AVENUE, 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)

Joshua Peter Gillen 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.

AGNES MWAKINGWE
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE
BALTIMORE, MD 21224
Baltimore City (410) 550-0526
LAURA SAUVE M.D.
Pediatrics
4940 EASTERN AVENUE
BALTIMORE, MD 21224
Baltimore City (410) 550-0967
DR. ODOLPHE AUGUSTIN DO, MPH
Internal Medicine
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Baltimore City (410) 550-3350
AMANDA MICHELLE REISZ LCSW-C
Social Worker (Clinical)
4940 EASTERN AVENUE, COMMUNITY PSYCHIATRY PROGRAM
BALTIMORE, MD 21224
Baltimore City (410) 550-2996
MRS. LAURA TENGELSEN CRIST RD LDN
Dietitian, Registered
4940 EASTERN AVENUE, JOHNS HOPKINS BAYVIEW MEDICAL CENTER CLINICAL NUTRITION
BALTIMORE, MD 21224
Baltimore City (410) 550-1549
DR. RYAN MICHAEL ANTAR MD
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, 301 BUILDING, ROOM 3112
BALTIMORE, MD 21224
Baltimore City (410) 550-0338
DR. JOHN PAUL LEDET
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Baltimore City (504) 495-9410
DR. LAHARI RAMAGIRI MD
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVENUE, INTERNAL MEDICINE CLINIC
BALTIMORE, MD 21224
Baltimore City (410) 550-3350

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 Joshua Gillen's NPI number?

The NPI number for Joshua Gillen is 1417759713. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Joshua Gillen located?

Joshua Gillen practices at 4940 Eastern Avenue Internal Medicine Clinic, Baltimore, MD 21224. The listed phone number is (410) 550-3350.

What is Joshua Gillen's specialty?

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

Is Joshua Gillen enrolled in Medicare?

Yes. Joshua Gillen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Gillen was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.