Rajiv Dua, M.D.
Individual provider Active NPI Family Medicine Physician · Columbia, MD
NPI 1043326945 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1043326945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0062022 (MD)
- Practice address
- 6250 Old Dobbin LN
Columbia, MD 21045-5816 - Phone
- (410) 730-3399
- Fax
- (443) 478-4737
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Centennial Medical Group, PA
Practice addresses (Care Compare)
10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone 4107303399100
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- The Johns Hopkins Home Health Services, Inc
- Johns Hopkins Hospital, the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041016000089 | MD | Practitioner - Family Practice | 3779543426 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0062022 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Centennial Medical Group, PA | Family Medicine | Current |
Accepting new patients |
| Centennial Medical Group, PA | Current |
Accepting new patients | |
| First Call Medical Center LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6250 Old Dobbin Ln
Columbia, MD 21045
6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111
8186 Lark Brown Rd
Ste 201
Elkridge, MD 21075
Phone (410) 834-8110
10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999
Interoperability endpoints
- drd@cmgp-md.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0062022 | MD | Yes |
Addresses
Primary practice location
6250 Old Dobbin LN
Columbia, MD 21045-5816
Mailing address
6230 Old Dobbin LN Ste 230
Columbia, MD 21045-5884
Phone (410) 730-3399
Other providers in Columbia, MD
- DRS. Bacharach, Volkman and Associates, L.L.C.
- DRS.Esposito,Mayer, Hogan & Assic
- Dannene Drummond
- Latoya Drummond
- Cuiqiong Du
- Jennifer Qian Duan
- Ana C Duarte
- Giovanna Duarte
- Maria O Duarte
- Josephine Dubon
All providers in Columbia, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.