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DR. ELYSE DARA PINE M.D.
NPI 1861606378
Pediatrics in Baltimore, MD

Active since May 10, 2007PECOS Enrolled
1111 N CHARLES ST, BALTIMORE, MD 21201(410) 837-2050(410) 752-1374 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2022, Nov 17, 2016 (2 updates tracked since 2016).

About Dr. Elyse Dara Pine M.d. NPPES

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

DR. ELYSE DARA PINE M.D. (NPI 1861606378) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (D72266) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861606378
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ELYSE DARA PINECredential: M.D.
Location Address1111 N CHARLES STBaltimore, MD 21201-5505
Mailing Address1111 N Charles StBaltimore, MD 21201-5505 · (410) 837-2050 · Fax (410) 752-1374
Phone(410) 837-2050
Fax(410) 752-1374
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1861606378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D72266
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.
Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X · License D72266 (MD)
1111 N CHARLES ST, Baltimore, MD 21201
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Other Names 1

Former Name (1)Dr. Elyse Dara Pine M.d.

Other Identifiers 1

Medicaid554414900MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elyse Dara Pine M.d. 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 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.

DAVID A CORNELL DNP, ARNP
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (515) 291-3283
STELLA IJIYODE FNP-C
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
DR. EMILY ANN SILVERMAN PH.D.
Psychologist (Clinical)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
MRS. AFRICA ALVAREZ-MCLEOD M.D.
Internal Medicine (Infectious Disease)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
DHANASHREE CHADA
Counselor (Professional)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
YOUNGHO KIM
Nurse Practitioner (Family)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
CHRISTOPHER ANDREW REEVES
Social Worker (Clinical)
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050
MS. KEM JACQUELINE JOHNSON MS, MED, CNS, LDN
Nutritionist
1111 N CHARLES ST
BALTIMORE, MD 21201
Baltimore City (410) 837-2050

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 Elyse Pine's NPI number?

The NPI number for Elyse Pine is 1861606378. It was assigned to this individual provider in the NPPES registry on May 10, 2007. The provider is also known as Dr. Elyse Dara Pine M.D..

Where is Elyse Pine located?

Elyse Pine practices at 1111 N Charles St, Baltimore, MD 21201. The listed phone number is (410) 837-2050.

What is Elyse Pine's specialty?

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

Is Elyse Pine enrolled in Medicare?

Yes. Elyse Pine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elyse Pine was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.