MKPOUTO N UDOSEN PA
NPI 1578287934
Physician Assistant in Baltimore, MD

Active since September 29, 2022PECOS Enrolled
520 W FAYETTE ST STE 300, BALTIMORE, MD 21201(931) 502-9455 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mkpouto N Udosen Pa NPPES

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

MKPOUTO N UDOSEN PA (NPI 1578287934) is an individual physician assistant in Baltimore, Maryland and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578287934
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMKPOUTO N UDOSENCredential: PA
Location Address520 W FAYETTE ST STE 300Baltimore, MD 21201-1756
Mailing Address463 Shore Acres RdArnold, MD 21012-1920 · (931) 502-9455
Sole ProprietorNo
Enumeration DateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
NPI 1578287934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

520 W FAYETTE ST STE 300, Baltimore, MD 21201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mkpouto N Udosen Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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.

Physician Assistant
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201
Physician Assistant
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201
Physician Assistant
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201
Physician Assistant
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201
Physician Assistant
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201
Physician Assistant
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201
Physician Assistant
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201
Physician Assistant
520 W FAYETTE ST STE 300
BALTIMORE, MD 21201

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 Mkpouto Udosen's NPI number?

The NPI number for Mkpouto Udosen is 1578287934. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Mkpouto Udosen located?

Mkpouto Udosen practices at 520 W Fayette St Ste 300, Baltimore, MD 21201. The listed phone number is (931) 502-9455.

What is Mkpouto Udosen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mkpouto Udosen enrolled in Medicare?

Yes. Mkpouto Udosen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mkpouto Udosen was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.