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AUTUMN SKYE IVY
NPI 1659638666
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Baltimore, MD

Active since April 13, 2012PECOS Enrolled
1800 ORLEANS STREET, BALTIMORE, MD 21264(410) 502-2037(410) 955-0737 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Sep 12, 2017 (2 updates tracked since 2017).

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

NPI1659638666
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameAUTUMN SKYE IVY
Location Address1800 ORLEANS STREETBaltimore, MD 21264-4203
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Phone(410) 502-2037
Fax(410) 955-0737
Sole ProprietorNo
Enumeration DateApril 13, 2012
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1659638666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in MD · D0101347✔ Licensed in CA · A126865
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License A126865 (CA)
1800 ORLEANS STREET, Baltimore, MD 21264
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Secondary Practice Location 1

Location 11201 W La Veta AveOrange, CA 92868-4203 · Phone (888) 770-2462

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Skye Ivy 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 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.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
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.

BRENDA LOUISE BANWELL MD
Pediatrics
1800 ORLEANS STREET
BALTIMORE, MD 21264
Baltimore City (410) 955-5000
KAREN R ELIAS VALLADARES CRNP
Nurse Practitioner (Critical Care Medicine)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Baltimore City (410) 955-2800
DAVID DANIEL MD
Pathology (Blood Banking & Transfusion Medicine)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Baltimore City (410) 502-2037
SHING CHAO MD
Student in an Organized Health Care Education/Training Program
1800 ORLEANS STREET
BALTIMORE, MD 21264
Baltimore City (410) 955-5000
IAN KYLE EVERITT MD
Internal Medicine (Cardiovascular Disease)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Baltimore City (410) 955-5000
MOHANAD BALDAWI MD
Anesthesiology
1800 ORLEANS STREET
BALTIMORE, MD 21264
Baltimore City (410) 550-0500
VARUN SRITEJA KAVURU
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Baltimore City (410) 955-5000
JOSHUA P. KANTER MD
Pediatrics (Pediatric Cardiology)
1800 ORLEANS STREET
BALTIMORE, MD 21264
Baltimore City (410) 502-2037

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.

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 23 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.