Active NPI
Coralyn Marie Bhogte, MD
- Pediatrics Physician
- Annapolis, MD
National Provider Identifier
1225354335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0075572
- Practice address
- 200 Forbes St Ste 200
Annapolis, MD 21401-1599 - Phone
- (410) 263-6363
- Fax
- (410) 263-7551
- NPI assigned
- Apr 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0075572 | MD | Primary |
Addresses
Primary practice location
200 Forbes St Ste 200
Annapolis, MD 21401-1599
Mailing address
200 Forbes St Ste 200
Annapolis, MD 21401-1599
Phone (410) 263-6363
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0075572 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1225354335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FORBES ST STE 200",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011599",
"telephone_number": "410-263-6363",
"fax_number": "410-263-7551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FORBES ST STE 200",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011599",
"telephone_number": "410-263-6363",
"fax_number": "410-263-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHOGTE",
"first_name": "CORALYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0075572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.