Pankaj Vaidya, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0070404 Issued in MD

Practice address

3600 Leonardtown Rd
Suite 101
Waldorf, MD 20601

Phone

(301) 645-4320

Fax

(301) 843-2384

NPI assigned

Feb 3, 2006

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pvaidya@southernmdpeds.opdirect.net

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.

• DRS. Chhabra & Sait, M.D., P.a.

  • Pediatrics Physician
  • Waldorf, MD
  • NPI 1326221904
  NPD Authorized official
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1013989029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LEONARDTOWN RD STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013647",
            "telephone_number": "301-645-5951",
            "fax_number": "301-843-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LEONARDTOWN RD",
            "address_2": "SUITE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "20601",
            "telephone_number": "301-645-4320",
            "fax_number": "301-843-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0070404",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E3821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152360001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Urby
• Ronnie Ursin, DNP, RN
• US Physical Therapy LLC
• Ahmed Uthman
• Olucharles Ngozi Uzodinma, M.D.
• Wykenna S Vailor, MHS, ADT
• La Tonya Valentine Jones, RN
• Value Based Care Behavioral Health
• Patricia Ann Vance, PH.D.
• Larry Ivan Vass, DDS

• Pediatrics Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.