Individual provider Active NPI

Lavanya Madabusi, MD

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1184366429
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0104110 Issued in MD
Practice address
9512 Harford Rd Ste 201
Baltimore, MD 21234-3125
Phone
(410) 882-0600
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0104110 MD Primary

Addresses

Primary practice location

9512 Harford Rd Ste 201
Baltimore, MD 21234-3125

Mailing address

9512 Harford Rd Ste 201
Baltimore, MD 21234-3125
Phone (410) 882-0600

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
I20260209000605 MD Practitioner - Pediatric Medicine 5193107852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0104110MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 29, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 29, 2025 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

9512 Harford Rd
Ste 201
Parkville, MD 21234
Phone (410) 882-0600

5009 Honeygo Center Dr
Ste 225
Perry Hall, MD 21128
Phone (443) 725-2100

Organizations & group practices 2

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1184366429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343125",
            "telephone_number": "410-882-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343125",
            "telephone_number": "410-882-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADABUSI",
        "first_name": "LAVANYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0104110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.