Individual provider Active NPI

Ouseph Janso Padickakudi, MBBCH

  • Student in an Organized Health Care Education/Training Program
  • Baltimore, MD
National Provider Identifier
1043565401
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
P28117 Issued in MD
Practice address
600 N. Wolfe Street, 655 Blalock
Johns Hopkins Hospital, Department of Surgery
Baltimore, MD 21287
Phone
(410) 502-5062
NPI assigned
Jul 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7059103 ZZ
Student in an Organized Health Care Education/Training Program 390200000X P28117 MD Primary

Addresses

Primary practice location

600 N. Wolfe Street, 655 Blalock
Johns Hopkins Hospital, Department of Surgery
Baltimore, MD 21287

Mailing address

1804 E. Pratt Street
Baltimore, MD 21231

Other names 1

  • Dr. Janson Padickakudi Other 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

State licenses

LicenseStateTypeSpecialty
7059103ZZMDSurgery Physician
P28117MDMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1043565401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 E. PRATT STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. WOLFE STREET, 655 BLALOCK",
            "address_2": "JOHNS HOPKINS HOSPITAL, DEPARTMENT OF SURGERY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21287",
            "telephone_number": "410-502-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADICKAKUDI",
        "first_name": "OUSEPH",
        "middle_name": "JANSO",
        "name_prefix": "Dr.",
        "credential": "MBBCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ZZ",
            "license": "7059103",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": "P28117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANSON",
            "last_name": "PADICKAKUDI",
            "prefix": "DR.",
            "credential": "MBBCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 9, 2012; 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.