Individual provider Active NPI

Tiffani Danielle Pittman, M.D.

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1003170002
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0082991 Issued in MD
Practice address
5601 Loch Raven Blvd
Baltimore, MD 21239-2905
Phone
(443) 444-4863
Fax
(443) 444-4997
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0082991 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Baltimore, MD 21239-2905

Mailing address

1001 4TH St SW Apt 615
Washington, DC 20024-4577
Phone (410) 206-5480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170825000175 DC Practitioner - Anesthesiology 5799079067 Reassigns benefits to 1 organization
I20210730001097 VA Practitioner - Anesthesiology 5799079067 Reassigns benefits to 1 organization
I20240502000102 MD Practitioner - Anesthesiology 5799079067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Anesthesia Associates LTDGroup PAC ID 3274848320, 17 clinicians

Practice addresses (Care Compare)

12825 Minnieville Rd
Suite 204
Woodbridge, VA 22192-3602
Phone (703) 357-9568

6710 Oxon Hill Rd
Suite 500
Oxon Hill, MD 20745-1140
Phone (240) 493-7533

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC Anesthesiology CurrentSince Mar 5, 2024 Accepting new patients
Capitol Anesthesia Associates, LTD Anesthesiology CurrentSince Jul 18, 2017 Accepting new patients

Locations

6720B Rockledge Dr
Ste 500
Bethesda, MD 20817
Phone (205) 427-0817

6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800

4991 New Design Rd
Ste 103
Frederick, MD 21703
Phone (301) 363-5858

20680 Seneca Meadows Pkwy
Ste 200
Germantown, MD 20876
Phone (240) 608-6000

6710 Oxon Hill Rd
Ste 500
Oxon Hill, MD 20745
Phone (240) 493-7533

6710 Oxon Hill Rd
Ste 150
Oxon Hill, MD 20745
Phone (240) 461-6999

12825 Minnieville Rd
Ste 204
Woodbridge, VA 22192
Phone (703) 357-9568

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1003170002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 4TH ST SW APT 615",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200244577",
            "telephone_number": "410-206-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "443-444-4863",
            "fax_number": "443-444-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "TIFFANI",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0082991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.