Active NPI
Seva Khambadkone
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1104217348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- SR169546
- Practice address
- 600 N Wolfe St
The Johns Hopkins Hospital
Baltimore, MD 21287-0005 - Phone
- (410) 955-5000
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | SR169546 | OH | Primary |
Addresses
Primary practice location
600 N Wolfe St
The Johns Hopkins Hospital
Baltimore, MD 21287-0005
Mailing address
733 Rutland Ave
The Johns Hopkins School of Medicine
Baltimore, MD 21205-2109
Phone (410) 955-3080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20220901003424 | OR | Order and Referring Only - Pediatric Medicine | 2062896400 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SR169546 | OH | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- skhambadkone136492@direct.ohsu.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1104217348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 RUTLAND AVE",
"address_2": "THE JOHNS HOPKINS SCHOOL OF MEDICINE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052109",
"telephone_number": "410-955-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"address_2": "THE JOHNS HOPKINS HOSPITAL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-955-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMBADKONE",
"first_name": "SEVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "SR169546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 10, 2015; 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.