MARYLAND INSTITUTE COLLEGE OF ART
NPI 1659090843
Clinic/Center - Health Service in Baltimore, MD

Active since August 23, 2022CLIA 21D2269224 · Waiver
1501 W MOUNT ROYAL AVE, 2ND FLOOR, BALTIMORE, MD 21217(410) 225-4118 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maryland Institute College Of Art NPPES

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

MARYLAND INSTITUTE COLLEGE OF ART (NPI 1659090843) is a healthcare organization registered as a health service in Baltimore, Maryland and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through September 21, 2028 and lists Judith M Kinney, Vp Student Health And Wellness, as its authorized official.

NPPES Registry Identity

NPI1659090843
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMARYLAND INSTITUTE COLLEGE OF ART
Location Address1501 W MOUNT ROYAL AVE, 2ND FLOORBaltimore, MD 21217-4287
Mailing Address1401 W Mount Royal Ave Bldg Suite262Baltimore, MD 21217-4245 · (410) 225-2422 · Fax (410) 225-2328
Organization SubpartNo
Authorized OfficialJudith M KinneyVp Student Health And Wellness · (410) 225-2422
Enumeration DateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1659090843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1501 W MOUNT ROYAL AVE, Baltimore, MD 21217

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryland Institute College Of Art is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maryland Institute College Of Art, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1598713851
3025 HAMAKER CT STE 100
Fairfax, VA 22031
(571) 405-6882
✔ PECOS✔ Accepts Medicare45 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2269224

Maryland Institute College Of Art Student Health C · Baltimore, MD
Active · expires Sep 21, 2028
CLIA Number21D2269224
Laboratory TypeSchool/Student Health Service
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorDr. Bao N. Nguyen
Laboratory Phone(410) 225-4118
Laboratory LocationMaryland Institute College Of Art Student Health C1501 W Mount Royal Avenue, Baltimore, MD 21217
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Maryland Institute College Of Art's NPI number?

The NPI number for Maryland Institute College Of Art is 1659090843. It was assigned to this organization in the NPPES registry on August 23, 2022.

Where is Maryland Institute College Of Art located?

Maryland Institute College Of Art is located at 1501 W Mount Royal Ave 2nd Floor, Baltimore, MD 21217. The listed phone number is (410) 225-4118.

What is Maryland Institute College Of Art's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Maryland Institute College Of Art enrolled in Medicare?

Yes. Maryland Institute College Of Art is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maryland Institute College Of Art?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Maryland Institute College Of Art. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Maryland Institute College Of Art hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2269224) is associated with this NPI, valid through September 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maryland Institute College Of Art was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.