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KHADIJAH SAMPSON
NPI 1760177802
Pediatrics in Baltimore, MD

Active since April 05, 2023PECOS Enrolled
22 S GREENE ST, BALTIMORE, MD 21201(410) 328-6960 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Apr 5, 2023 (2 updates tracked since 2023).

About Khadijah Sampson NPPES

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

KHADIJAH SAMPSON (NPI 1760177802) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (H0106272) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2023).

NPPES Registry Identity

NPI1760177802
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKHADIJAH SAMPSON
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing Address22 S Greene StBaltimore, MD 21201-1544
Phone(410) 328-6960
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2023
Enumeration DateApril 5, 2023
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1760177802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · H0106272
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22 S GREENE ST, Baltimore, MD 21201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khadijah Sampson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123474491
PECOS Enrollment IDI20260612002842
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 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
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.

DR. LEONARD ANANG SOWAH M.D.
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-4619
VISHAL BHATNAGAR MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NANCE J FOX P.A.-C
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Baltimore City (410) 328-1170
HILARY TAMARA WOLF MD
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 328-7373
MS. LINDSAY BREAM O'MEARA CRNP
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Baltimore City (410) 328-3365
NORA T OLIVER M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756
SHOSHANA JO WEINER
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (617) 214-1332
JENNA VANLIERE CANZONIERO M.D.
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756

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 Khadijah Sampson's NPI number?

The NPI number for Khadijah Sampson is 1760177802. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Khadijah Sampson located?

Khadijah Sampson practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-6960.

What is Khadijah Sampson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Khadijah Sampson enrolled in Medicare?

Yes. Khadijah Sampson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khadijah Sampson was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.