AUTUMN SKYE IVY
NPI 1659638666
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Baltimore, MD
About Autumn Skye Ivy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN SKYE IVY (NPI 1659638666) is an individual neurology with special qualifications in child neurology provider in Baltimore, Maryland, licensed in Maryland (D0101347) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.
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)
Autumn Skye Ivy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Autumn Ivy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21205
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21205
- Reassigned Medicare billing, Maryland enrollment
- 352 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Of Orange County
- 190 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 143 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21264 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 21264
BALTIMORE, MD 21264
BALTIMORE, MD 21264
BALTIMORE, MD 21264
BALTIMORE, MD 21264
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 Autumn Ivy's NPI number?
The NPI number for Autumn Ivy is 1659638666. It was assigned to this individual provider in the NPPES registry on April 13, 2012.
Where is Autumn Ivy located?
Autumn Ivy practices at 1800 Orleans Street, Baltimore, MD 21264. The listed phone number is (410) 502-2037.
What is Autumn Ivy's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Autumn Ivy enrolled in Medicare?
Yes. Autumn Ivy is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Autumn Ivy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Ivy reassigns Medicare benefits to 4 organizations: Johns Hopkins University (Baltimore, MD), Kennedy Krieger Associates (Baltimore, MD), Children's Hospital Of Orange County (Orange, CA) and Uc Regents Uci Dept Of Pediatrics (Orange, CA). Each 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 Autumn Ivy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Autumn Ivy was last updated on August 15, 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.
# Autumn Skye Ivy · NPI 1659638666
Neurology with Special Qualifications in Child Neurology physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 13, 2012.
## Identity
- **NPI:** 1659638666 (Entity type: Individual)
- **Enumerated:** April 13, 2012
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** D0101347 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1800 ORLEANS STREET, Baltimore, MD 21264-4203
- **Phone:** (410) 502-2037 · **Fax:** (410) 955-0737
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1033190442, Baltimore, MD); Kennedy Krieger Associates (NPI 1871515783, Baltimore, MD); Children's Hospital Of Orange County (NPI 1275975104, Orange, CA); Uc Regents Uci Dept Of Pediatrics (NPI 1235187311, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659638666) · Data from the CMS NPPES public registry.