1. Home
  2. Directory
  3. Maryland
  4. Reisterstown
  5. Physician Assistant
  6. NPI Profile

SAVANNAH ALEXANDRA KINLOCK
NPI 1972246213
Physician Assistant in Reisterstown, MD

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
11804 REISTERSTOWN RD, REISTERSTOWN, MD 21136(718) 809-7494 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Savannah Alexandra Kinlock NPPES

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

SAVANNAH ALEXANDRA KINLOCK (NPI 1972246213) is an individual physician assistant in Reisterstown, Maryland, licensed in Maryland (C0009869) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972246213
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAVANNAH ALEXANDRA KINLOCK
Location Address11804 REISTERSTOWN RDReisterstown, MD 21136-3311
Mailing Address11804 Reisterstown RdReisterstown, MD 21136-3311
Phone(718) 809-7494
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 14, 2022
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1972246213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0009869
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11804 REISTERSTOWN RD, Reisterstown, MD 21136
Open in Google Maps ↗

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

Savannah Alexandra Kinlock 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 ID9234656695
PECOS Enrollment IDI20250508002028, I20250508002081
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 21136 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
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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 4

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

NICHOLAS ADAM JABCO
Physician Assistant (Medical)
11804 REISTERSTOWN RD
REISTERSTOWN, MD 21136
Baltimore County (410) 870-5094
CRH MD MANAGEMENT LLC
Clinic/Center (Urgent Care)
11804 REISTERSTOWN RD
REISTERSTOWN, MD 21136
Baltimore County (410) 870-5094
STATCARE GROUP LLC
Clinic/Center (Urgent Care)
11804 REISTERSTOWN RD
REISTERSTOWN, MD 21136
Baltimore County (410) 870-5094
STATCARE GROUP, LLC
Clinic/Center (Urgent Care)
11804 REISTERSTOWN RD
REISTERSTOWN, MD 21136
Baltimore County (410) 753-4841

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 Savannah Kinlock's NPI number?

The NPI number for Savannah Kinlock is 1972246213. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Savannah Kinlock located?

Savannah Kinlock practices at 11804 Reisterstown Rd, Reisterstown, MD 21136. The listed phone number is (718) 809-7494.

What is Savannah Kinlock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Savannah Kinlock enrolled in Medicare?

Yes. Savannah Kinlock 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.

When was this NPI record last updated?

The NPPES record for Savannah Kinlock was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.