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KADIJA HERSI M.D
NPI 1740593987
Internal Medicine in Baltimore, MD

Active since July 16, 2010PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
600 N WOLFE ST BLDG 5TH, BALTIMORE, MD 21287(410) 955-3467(410) 955-0036 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kadija Hersi M.d NPPES

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

KADIJA HERSI M.D (NPI 1740593987) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D75684) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1740593987
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKADIJA HERSICredential: M.D
Location Address600 N WOLFE ST BLDG 5THBaltimore, MD 21287-0005
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Phone(410) 955-3467
Fax(410) 955-0036
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2013
Enumeration DateJuly 16, 2010
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 15, 2023
✔ NPI 1740593987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D75684
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
600 N WOLFE ST BLDG 5TH, Baltimore, MD 21287
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Secondary Practice Location 1

Location 1100 E Carroll StSalisbury, MD 21801-5422 · Phone (410) 543-7531 · Fax (410) 912-6386

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kadija Hersi M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335374628
PECOS Enrollment IDI20231116002105
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY-ANN ELIZABETH BROWN MD
Internal Medicine (Pulmonary Disease)
600 N WOLFE ST BLDG 5TH
BALTIMORE, MD 21287
Baltimore City (410) 550-5864
ANN MARIE PARKER MD
Internal Medicine (Pulmonary Disease)
600 N WOLFE ST BLDG 5TH
BALTIMORE, MD 21287
Baltimore City (410) 955-3467

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 Kadija Hersi's NPI number?

The NPI number for Kadija Hersi is 1740593987. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Kadija Hersi located?

Kadija Hersi practices at 600 N Wolfe St Bldg 5th, Baltimore, MD 21287. The listed phone number is (410) 955-3467.

What is Kadija Hersi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kadija Hersi enrolled in Medicare?

Yes. Kadija Hersi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kadija Hersi affiliated with any hospitals?

According to CMS data, Kadija Hersi is affiliated with Suburban Hospital.

When was this NPI record last updated?

The NPPES record for Kadija Hersi was last updated on December 18, 2023. 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.