Individual provider Active NPI

Kamakshi Neelkantan, M.D.

  • Pediatrics Physician
  • Elkton, MD
National Provider Identifier
1043323827
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D24744 Issued in MD
Practice address
101 Chesapeake Blvd Ste B
Elkton, MD 21921-6607
Phone
(410) 398-0590
Fax
(443) 681-7671
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 D24744 MD Primary

Addresses

Primary practice location

101 Chesapeake Blvd Ste B
Elkton, MD 21921-6607

Mailing address

PO Box 1466
Elkton, MD 21922-1466
Phone (410) 398-0590

Other practice location 1

2327 Pulaski Hwy Ste 103
North East, MD 21901-3706
Phone (410) 398-0590

Other names 1

  • Dr. Kamakshi Neelkantan Professional name

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D24744MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David V. Martini, M.D. P.a. PastSince Feb 13, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.mpcfhir.com/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1043323827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219221466",
            "telephone_number": "410-398-0590",
            "fax_number": "443-681-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHESAPEAKE BLVD STE B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216607",
            "telephone_number": "410-398-0590",
            "fax_number": "443-681-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2327 Pulaski Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "North East",
            "state": "MD",
            "postal_code": "219013706",
            "country_code": "US",
            "telephone_number": "410-398-0590",
            "fax_number": "443-681-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELKANTAN",
        "first_name": "KAMAKSHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D24744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMAKSHI",
            "last_name": "NEELKANTAN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.