TIFFANY FARE
NPI 1710791264
Student in an Organized Health Care Education/Training Program in Baltimore, MD
About Tiffany Fare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY FARE (NPI 1710791264) is an individual student in an organized health care education/training program in Baltimore, Maryland, licensed in Maryland (R226350) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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)
Tiffany Fare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tiffany Fare reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21239
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 3,530 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.
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 21201
BALTIMORE, MD 21201
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 Tiffany Fare's NPI number?
The NPI number for Tiffany Fare is 1710791264. It was assigned to this individual provider in the NPPES registry on February 5, 2025.
Where is Tiffany Fare located?
Tiffany Fare practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-6196.
What is Tiffany Fare's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tiffany Fare enrolled in Medicare?
Yes. Tiffany Fare is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tiffany Fare's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Fare reassigns Medicare benefits to Medstar Medical Group II LLC (Baltimore, MD). The 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 Tiffany Fare'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 Tiffany Fare was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Tiffany Fare · NPI 1710791264
Student in an Organized Health Care Education/Training Program provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since February 5, 2025.
## Identity
- **NPI:** 1710791264 (Entity type: Individual)
- **Enumerated:** February 5, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** R226350 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1590
- **Phone:** (410) 328-6196
## 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:** Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710791264) · Data from the CMS NPPES public registry.