DR. ETOSHA D DIXON M.D. NPI 1063473551

NPI Information

  • NPI: 1063473551
  • Provider Name: DR. ETOSHA D DIXON, M.D.
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8800 WALTHER BLVD
    BALTIMORE, MD
    ZIP 21234
  • Phone: (410) 882-3240

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NPI Details

DR. Etosha D Dixon, M.D. is a geriatric medicine family medicine in Baltimore, MD. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Etosha D Dixon, M.D. NPI is 1063473551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8800 WALTHER BLVD
BALTIMORE, MD
ZIP 21234-001
Phone: (410) 882-3240
Fax: (410) 661-5093

The NPI 1063473551 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS:G2212)
  • Extended inpatient or observation hospital service, first hour (HCPCS:99356)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Blood test, clotting time (HCPCS:85610)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Removal of impacted ear wax (HCPCS:69210)
  • Automated urinalysis test (HCPCS:81003)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Extended inpatient or observation hospital service, each additional 30 minutes (HCPCS:99357)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 4/1/2006 and was last updated on 4/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine22045WEST VIRGINIANo
2207QG0300XFamily MedicineGeriatric MedicineD61785MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10442052OTHEREVERCARE
29676-0039OTHERCAREFIRST BCBS OF DC
30123302OTHEREVERCARE
4769698OTHERBCBS
50056OTHERCAREFIRST DC
6093NSE-896608-01OTHERCAREFIRST BCBS OF MD
789660801OTHERBCBS MD
8805701000MEDICAIDMARYLAND
9T016-0057OTHERBCBS-DC
10093NER-896608-01OTHERCAREFIRST BCBS OF MD
11005559001MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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