Individual provider Active NPI

Mananya Mallikamas, M.D.

  • Anesthesiology Physician
  • Bowie, MD
National Provider Identifier
1144232166
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D23393 Issued in MD
Practice address
14999 Health Center Dr
Bowie, MD 20716-1074
Phone
(443) 332-4088
Fax
(410) 793-0809
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D23393 MD Primary

Addresses

Primary practice location

14999 Health Center Dr
Bowie, MD 20716-1074

Mailing address

PO Box 6687
Annapolis, MD 21401-0687
Phone (410) 263-6638

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D23393MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Anesthesia Management Services of Maryland Anesthesiology 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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1144232166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6687",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214010687",
            "telephone_number": "410-263-6638",
            "fax_number": "410-268-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14999 HEALTH CENTER DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161074",
            "telephone_number": "443-332-4088",
            "fax_number": "410-793-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIKAMAS",
        "first_name": "MANANYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D23393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.