Individual provider Active NPI

Somajita Ghosal, M.D.

  • Internal Medicine Physician
  • Belcamp, MD
National Provider Identifier
1154473999
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0069344 Issued in MD
Practice address
103 Bata Blvd Ste a
Belcamp, MD 21017-1420
Phone
(410) 575-6611
NPI assigned
Jan 18, 2007
Last updated
May 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0069344 MD Primary

Addresses

Primary practice location

103 Bata Blvd Ste a
Belcamp, MD 21017-1420

Mailing address

3100 Wyman Park Dr
Baltimore, MD 21211-2803

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
I20091014000351 MD Practitioner - Internal Medicine 3870639347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

4924 Campbell Blvd
Suite 200
Baltimore, MD 21236-5914
Phone (443) 442-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0069344MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

3100 Wyman Park Dr
Baltimore, MD 21211
Phone (410) 338-3000

103 Bata Blvd
Ste A
Belcamp, MD 21017
Phone (410) 575-6611

4924 Campbell Blvd
Nottingham, MD 21236
Phone (443) 442-2200

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1154473999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WYMAN PARK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BATA BLVD STE A",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171420",
            "telephone_number": "410-575-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSAL",
        "first_name": "SOMAJITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0069344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcamp, MD

Sources for this page

Verify at the official NPI Registry.