Active NPI
Shreeraj Ananda Nayak, MD
- Internal Medicine Physician
- Lanham, MD
National Provider Identifier
1053940338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D97189
- Practice address
- 9811 Greenbelt Rd Ste 101
Lanham, MD 20706-2215 - Phone
- (301) 477-2311
- Fax
- (301) 477-2753
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | D97189 | MD | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | D97189 | MD | Primary |
Addresses
Primary practice location
9811 Greenbelt Rd Ste 101
Lanham, MD 20706-2215
Mailing address
9811 Greenbelt Rd Ste 101
Lanham, MD 20706-2215
Phone (301) 477-2311
Other names 1
- Dr. Raj Nayak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240417003929 | MD | Order and Referring Only - Internal Medicine | 9436500931 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D97189 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1053940338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 GREENBELT RD STE 101",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062215",
"telephone_number": "301-477-2311",
"fax_number": "301-477-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 GREENBELT RD STE 101",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062215",
"telephone_number": "301-477-2311",
"fax_number": "301-477-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYAK",
"first_name": "SHREERAJ",
"middle_name": "ANANDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MD",
"license": "D97189",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D97189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAJ",
"last_name": "NAYAK",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.