Individual provider Active NPI

Christine Ajjan Laky, MD

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
National Provider Identifier
1164495925
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
D85984 Issued in MD
Practice address
185 Harry S Truman Pkwy Ste 120
Annapolis, MD 21401
Phone
(410) 224-4442
Fax
(410) 224-8898
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L8587 TX
Maternal & Fetal Medicine Physician 207VM0101X 047348 CT
Maternal & Fetal Medicine Physician 207VM0101X D85984 MD Primary

Addresses

Primary practice location

185 Harry S Truman Pkwy Ste 120
Annapolis, MD 21401

Mailing address

PO Box 12622
Belfast, ME 04915-4017

Other practice location 1

1300 Hospital Dr Ste 200
Fredericksburg, VA 22401-8451
Phone (540) 741-3620

Other practice location 2

333 Cedar Street
Yale University School of Medicine/Dept of OB/GYN, MFM
New Haven, CT 06520
Phone (203) 785-2671

Other practice location 3

185 Harry S Truman Pkwy Ste 120
Annapolis, MD 21401
Phone (410) 224-4442

Other identifiers 4

IdentifierTypeStateIssuer
222363500MedicaidMD
K480009OtherMDCAREFIRST BCBS
716871OtherMDMEDICARE
716876OtherMDMEDICARE

Other names 1

  • Dr. Christine Barbara Ajjan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170301001977 TX Practitioner - Obstetrics/Gynecology 4385797562 Reassigns benefits to 1 organization
I20181015002285 MD Practitioner - Obstetrics/Gynecology 4385797562 Reassigns benefits to 1 organization
I20201020000017 VA Practitioner - Obstetrics/Gynecology 4385797562 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Maternal & Fetal Medicine Current Accepting new patients
Mary Washington Healthcare Physicians Family Medicine CurrentSince Sep 8, 2020 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Sep 8, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 24, 2018 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 24, 2018 Accepting new patients
Seton Family of Doctors Family Medicine CurrentSince Sep 5, 2016 Accepting new patients
Seton Family of Doctors CurrentSince Sep 5, 2016 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Sjhmc Physician Services PastSince Feb 18, 2015 Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

185 Harry S Truman Pkwy
Ste 120
Annapolis, MD 21401
Phone (410) 224-4442

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

505 Dutchmans Ln
Easton, MD 21601
Phone (410) 822-3246

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1300 Hospital Dr
Ste 200
Fredericksburg, VA 22401
Phone (540) 741-1995

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

Interoperability endpoints

  • Direct secure messaging: claky14501@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 9

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1164495925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HARRY S TRUMAN PKWY STE 120",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-224-4442",
            "fax_number": "410-224-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Hospital Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224018451",
            "country_code": "US",
            "telephone_number": "540-741-3620",
            "fax_number": "540-741-3621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Cedar Street",
            "address_2": "Yale University School of Medicine/Dept of OB/GYN, MFM",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06520",
            "country_code": "US",
            "telephone_number": "203-785-2671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Harry S Truman Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "21401",
            "country_code": "US",
            "telephone_number": "410-224-4442",
            "fax_number": "410-224-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKY",
        "first_name": "CHRISTINE",
        "middle_name": "AJJAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L8587",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CT",
            "license": "047348",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "D85984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222363500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "K480009",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "716871",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "716876",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "AJJAN",
            "middle_name": "BARBARA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.