Active NPI
Christine Ajjan Laky, MD
- Maternal & Fetal Medicine Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- D85984
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222363500 | Medicaid | MD | |
| K480009 | Other | MD | CAREFIRST BCBS |
| 716871 | Other | MD | MEDICARE |
| 716876 | Other | MD | MEDICARE |
Other names 1
- Dr. Christine Barbara Ajjan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Family Medicine | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Seton Family of Doctors | Family Medicine | Current | Accepting new patients |
| Seton Family of Doctors | Current | Accepting new patients | |
| Pathology Associates of Fredericksburg PTR | Current | Accepting new patients | |
| Sjhmc Physician Services | Past | 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
- 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.
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Clinic/Center
- Severna Park, MD
- NPI 1932645355
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- Anatomic Pathology Physician
- Fredericksburg, VA
- NPI 1033150982
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.