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MIA FATUZZO MD
NPI 1780371625
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since April 20, 2023PECOS Enrolled
22 S GREENE ST RM S11C, BALTIMORE, MD 21201(410) 328-2542 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mia Fatuzzo Md NPPES

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

MIA FATUZZO MD (NPI 1780371625) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780371625
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIA FATUZZOCredential: MD
Location Address22 S GREENE ST RM S11CBaltimore, MD 21201-1544
Mailing Address22 S Greene St Rm S11cBaltimore, MD 21201-1544
Phone(410) 328-2542
Sole ProprietorNo
Enumeration DateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1780371625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22 S GREENE ST RM S11C, 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)

Mia Fatuzzo Md 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.

Other Providers at the Same Location NPPES 12

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

SUJATA DATTA MD
Anesthesiology
22 S GREENE ST RM S11C
BALTIMORE, MD 21201
Baltimore City (410) 328-6120
HANNA BATCHELOR
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM S11C
BALTIMORE, MD 21201
Baltimore City (410) 328-6120
DR. JOHN KOYICKAL VARGHESE MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM S11C
BALTIMORE, MD 21201
Baltimore City (410) 328-6120
VINCENT LEE ALLEN MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM S11C
BALTIMORE, MD 21201
Baltimore City (410) 328-6120
TOBENNA MBONU MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM S11C
BALTIMORE, MD 21201
Baltimore City (410) 328-6120
ANDEULAZIA MURDOCK
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM S11C
BALTIMORE, MD 21201
Baltimore City (410) 328-6120
ALEXANDRA CATHERINE HUET-HUDSON
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM S11C
BALTIMORE, MD 21201
Baltimore City (704) 778-8663
DIVYA JAIN
Student in an Organized Health Care Education/Training Program
22 S GREENE ST RM S11C
BALTIMORE, MD 21201
Baltimore City (913) 304-4194

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 Mia Fatuzzo's NPI number?

The NPI number for Mia Fatuzzo is 1780371625. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Mia Fatuzzo located?

Mia Fatuzzo practices at 22 S Greene St Rm S11c, Baltimore, MD 21201. The listed phone number is (410) 328-2542.

What is Mia Fatuzzo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mia Fatuzzo enrolled in Medicare?

Yes. Mia Fatuzzo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Fatuzzo was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.