Individual provider Active NPI

Angeline G Canagarajah, M.D, MPH

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1043335425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0063678 Issued in MD
Practice address
12200 Rockville Pike
Rockville, MD 20852-1608
Phone
(301) 881-5000
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D0063678 MD Primary

Addresses

Primary practice location

12200 Rockville Pike
Rockville, MD 20852-1608

Mailing address

4715 Brightwood Rd
Olney, MD 20832-1828
Phone (301) 260-8201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111013000501 MD Practitioner - Pediatric Medicine 6002088168 Reassigns benefits to 2 organizations
I20131120000214 DC Practitioner - Pediatric Medicine 6002088168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Family Urgent Care, LLC Past Accepting new patients
The Pediatric Group, LLP Pediatrics Past Accepting new patients

Locations

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

6334 Cedar Ln
Columbia, MD 21044
Phone (301) 596-6483

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

20 University Blvd E
Silver Spring, MD 20901
Phone (240) 863-2720

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICGJBA/Endpoint/ICGJBA

Organizations & group practices 7

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043335425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 BRIGHTWOOD RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321828",
            "telephone_number": "301-260-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521608",
            "telephone_number": "301-881-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAGARAJAH",
        "first_name": "ANGELINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0063678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.