NPIMap

Individual provider Active NPI

Nitin Mohan Chopde, M.D.

  • Pediatrics Physician
  • Laurel, MD
National Provider Identifier
1003862475
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0046333 Issued in MD
Practice address
13976 Baltimore Ave
Laurel, MD 20707
Phone
(301) 776-9000
Fax
(301) 776-9259
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0046333 MD Primary

Addresses

Primary practice location

13976 Baltimore Ave
Laurel, MD 20707

Mailing address

PO Box 2889
Laurel, MD 20709-2889
Phone (301) 776-9000

Other practice location 1

13932 Baltimore Ave
Laurel, MD 20707-5000
Phone (301) 776-9000

Other identifiers 1

IdentifierTypeStateIssuer
338011400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0046333MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Laurel Children's Clinic Pediatrics Past Accepting new patients
Contee Emergency Physicians Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nitin.chopde@laurelcc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GACABA/Endpoint/GACABA

Organizations & group practices 3

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1003862475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2889",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207092889",
            "telephone_number": "301-776-9000",
            "fax_number": "301-776-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13976 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "301-776-9000",
            "fax_number": "301-776-9259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13932 Baltimore Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075000",
            "country_code": "US",
            "telephone_number": "301-776-9000",
            "fax_number": "301-776-9259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOPDE",
        "first_name": "NITIN",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0046333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338011400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.