NPIMap

Individual provider Active NPI

Bhavandeep Singh Bajaj, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1003011214
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0070917 Issued in MD
Practice address
3345 Wilkens Avenue
Suite L10
Baltimore, MD 21229-5213
Phone
(410) 644-4444
Fax
(410) 644-4484
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0070917 MD Primary

Addresses

Primary practice location

3345 Wilkens Avenue
Suite L10
Baltimore, MD 21229-5213

Mailing address

3345 Wilkens Avenue
Suite L10
Baltimore, MD 21229-5213
Phone (410) 644-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001112 MD Practitioner - Internal Medicine 6608060298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sambandam Baskaran M.D.,P.a.Group PAC ID 9537210323, 4 clinicians

Practice addresses (Care Compare)

3455 Wilkens Ave
Suite LL10
Baltimore, MD 21229-5294
Phone (410) 644-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sambandam Baskaran M.D.,P.a. Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients
Westgate Hills Operator LLC Past Accepting new patients
Academy MD Opco Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meadow Park Operator LLC Past Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

3455 Wilkens Ave
Ste LL10
Baltimore, MD 21229
Phone (410) 644-4444

3455 Wilkens Ave
Ste L10
Baltimore, MD 21229

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1003011214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 WILKENS AVENUE",
            "address_2": "SUITE L10",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295213",
            "telephone_number": "410-644-4444",
            "fax_number": "410-644-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 WILKENS AVENUE",
            "address_2": "SUITE L10",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295213",
            "telephone_number": "410-644-4444",
            "fax_number": "410-644-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJAJ",
        "first_name": "BHAVANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0070917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.