Active NPI
Radhika Srivastava
- Dermatology Physician
- Baltimore, MD
National Provider Identifier
1023647559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0101288
- Practice address
- 419 W Redwood St
Baltimore, MD 21201-1734 - Phone
- (667) 214-1199
- NPI assigned
- Apr 6, 2020
- Last updated
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D0101288 | MD | Primary |
Addresses
Primary practice location
419 W Redwood St
Baltimore, MD 21201-1734
Mailing address
419 W Redwood St
Baltimore, MD 21201-1734
Phone (667) 214-1171
Other practice location 1
6021 University Blvd Ste 390
Ellicott City, MD 21043-6087
Phone (667) 214-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0101288 | MD | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Dermatologists PA | Dermatology | Past | Accepting new patients |
Interoperability endpoints
- rsrivastava1310769@direct.umm.edu
Organizations & group practices 1
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.
-
- Dermatology Physician
- Columbia, MD
- NPI 1659304152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1023647559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 W REDWOOD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011734",
"telephone_number": "667-214-1171",
"fax_number": "410-328-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 W REDWOOD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011734",
"telephone_number": "667-214-1199"
}
],
"practiceLocations": [
{
"address_1": "6021 University Blvd Ste 390",
"address_purpose": "LOCATION",
"city": "Ellicott City",
"state": "MD",
"postal_code": "210436087",
"country_code": "US",
"telephone_number": "667-214-2100",
"fax_number": "410-296-2028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SRIVASTAVA",
"first_name": "RADHIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0101288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.