Individual provider Active NPI

Satnam Singh Nijjar, M.D., FRCPC

  • General Acute Care Hospital
  • Baltimore, MD
National Provider Identifier
1235446352
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
D71372 Issued in MD
Practice address
301 Mason Lord Dr
Second Floor
Baltimore, MD 21224-3057
Phone
(410) 550-1446
Fax
(410) 550-0539
NPI assigned
Sep 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X D71372 MD Primary

Addresses

Primary practice location

301 Mason Lord Dr
Second Floor
Baltimore, MD 21224-3057

Mailing address

707 President St
Apt. 1318
Baltimore, MD 21202-4474
Phone (410) 550-1446

Other identifiers 1

IdentifierTypeStateIssuer
036634000MedicaidMD

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D71372MDMDGeneral Acute Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1235446352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PRESIDENT ST",
            "address_2": "APT. 1318",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024474",
            "telephone_number": "410-550-1446",
            "fax_number": "410-550-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MASON LORD DR",
            "address_2": "SECOND FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243057",
            "telephone_number": "410-550-1446",
            "fax_number": "410-550-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIJJAR",
        "first_name": "SATNAM",
        "middle_name": "SINGH",
        "credential": "M.D., FRCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "D71372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036634000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.