Individual provider Active NPI

Simita U. Talwar, M.D.

  • Family Medicine Physician
  • Crofton, MD
National Provider Identifier
1245222082
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0060832 Issued in MD
Practice address
1302 Cronson Blvd
Suite E
Crofton, MD 21114-2064
Phone
(410) 451-1301
Fax
(410) 451-1037
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0060832 MD Primary

Addresses

Primary practice location

1302 Cronson Blvd
Suite E
Crofton, MD 21114-2064

Mailing address

1302 Cronson Blvd
Suite E
Crofton, MD 21114-2064
Phone (410) 451-1301

Other identifiers 11

IdentifierTypeStateIssuer
403467800MedicaidMD
7611526OtherMDAETNA FEE FOR SERVICE
2162109OtherMDMAMSI SPECIALIST
7605-0064OtherMDCAREFIRST BLUECHOICE
5802923OtherMDCIGNA PIN
121128OtherMDJHHC PROVIDER NUMBER
3352166OtherMDAETNA CAPITATED
629962-02OtherMDCAREFIRST MD RENDERING
P16222OtherMDCAREFIRST MPOS
8162109OtherMDMAMSI PRIMARY CARE
P00137877OtherMDRR MEDICARE

Other names 1

  • Simita B. Das Former name

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
I20040128000169 MD Practitioner - Family Practice 4587567698 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

10085 Red Run Blvd
Owings Mills, MD 21117-4832
Phone (410) 581-7804

63 E Padonia Rd
Timonium, MD 21093-2306

6569 N Charles St
Baltimore, MD 21204-5816

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0060832MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Oct 14, 2019 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Sep 9, 2019 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Sep 9, 2019 Accepting new patients
University of Maryland Family Medicine Associates, P.a. Current Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Oct 14, 2019 Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Oct 14, 2019 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients

Locations

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

Interoperability endpoints

  • Direct secure messaging: stalwar51487@gbmcdirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1245222082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 CRONSON BLVD",
            "address_2": "SUITE E",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142064",
            "telephone_number": "410-451-1301",
            "fax_number": "410-451-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 CRONSON BLVD",
            "address_2": "SUITE E",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142064",
            "telephone_number": "410-451-1301",
            "fax_number": "410-451-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALWAR",
        "first_name": "SIMITA",
        "middle_name": "U.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0060832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403467800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA FEE FOR SERVICE",
            "identifier": "7611526",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI SPECIALIST",
            "identifier": "2162109",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "7605-0064",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "5802923",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC PROVIDER NUMBER",
            "identifier": "121128",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CAPITATED",
            "identifier": "3352166",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD RENDERING",
            "identifier": "629962-02",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MPOS",
            "identifier": "P16222",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PRIMARY CARE",
            "identifier": "8162109",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00137877",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMITA",
            "last_name": "DAS",
            "middle_name": "B.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.