Individual provider Active NPI

Maria Mercedes Mejia-Bogdanski

  • Case Manager/Care Coordinator
  • Gaithersburg, MD
National Provider Identifier
1083162887
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
9611 Issued in MD
Practice address
610 E Diamond Ave Ste E
Gaithersburg, MD 20877-5332
Phone
(301) 330-4359
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 29938 MD
Case Manager/Care Coordinator 171M00000X 9611 MD Primary

Addresses

Primary practice location

610 E Diamond Ave Ste E
Gaithersburg, MD 20877-5332

Mailing address

10226 Bradley LN
Columbia, MD 21044-3929
Phone (410) 997-7022

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
9611MDMDCase Manager/Care Coordinator
29938MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Health System, Inc. Past Accepting new patients
Sheppard Pratt Health System, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1083162887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10226 BRADLEY LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443929",
            "telephone_number": "410-997-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E DIAMOND AVE STE E",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775332",
            "telephone_number": "301-330-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA-BOGDANSKI",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": "29938",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "9611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.