Individual provider Active NPI

Aparajita K Mahata, MD F.A.C.O.G.

  • Obstetrics & Gynecology Physician
  • Prince Frederick, MD
National Provider Identifier
1104910645
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D38940 Issued in MD
Practice address
110 Hospital Rd
Suite 203
Prince Frederick, MD 20678-4019
Phone
(410) 414-4740
Fax
(410) 414-4741
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D38940 MD Primary

Addresses

Primary practice location

110 Hospital Rd
Suite 203
Prince Frederick, MD 20678-4019

Mailing address

110 Hospital Rd Ste 203
Prince Frederick, MD 20678-4045
Phone (410) 414-4740

Other identifiers 1

IdentifierTypeStateIssuer
068850900MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000744 MD Practitioner - Obstetrics/Gynecology 5395765887

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Health Ventures Inc Past Accepting new patients

Organizations & group practices 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1104910645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784045",
            "telephone_number": "410-414-4740",
            "fax_number": "410-414-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-414-4740",
            "fax_number": "410-414-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHATA",
        "first_name": "APARAJITA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD F.A.C.O.G.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D38940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068850900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.