DANIELLE M BROOME PA
NPI 1619126273
Physician Assistant - Medical in Baltimore, MD

Q: What is Danielle Broome's NPI number?

The NPI number for Danielle Broome is 1619126273. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Q: What is Danielle Broome's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Broome was last updated on March 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 18, 2008PECOS Enrolled

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-7852 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Danielle M Broome Pa NPPES

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

DANIELLE M BROOME PA (NPI 1619126273) is an individual medical provider in Baltimore, Maryland, licensed in Maryland (C04377) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619126273

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDANIELLE M BROOMECredential: PA

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing AddressPo Box 64362Baltimore, MD 21264-4362

Phone(410) 550-7852

Sole ProprietorNo

Enumeration DateSeptember 18, 2008

Last NPPES UpdateMarch 7, 2011

✔ NPI 1619126273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MD · C04377

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110002835 (VA)

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)

Danielle M Broome 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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services14 patients

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