Sathiyanathan Nadarajah, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12461 Issued in MD

Practice address

1425 Liberty Rd
Suite 212
Eldersburg, MD 21784-6420

Phone

(410) 552-4626

Fax

(410) 552-1276

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 25, 2016 through Jan 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245329523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 LIBERTY RD",
            "address_2": "SUITE 212",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846420",
            "telephone_number": "410-552-4626",
            "fax_number": "410-552-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 LIBERTY RD",
            "address_2": "SUITE 212",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846420",
            "telephone_number": "410-552-4626",
            "fax_number": "410-552-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADARAJAH",
        "first_name": "SATHIYANATHAN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "12461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica P Mott, LCSW-C
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• N.T. Ruelos, M.D., P.C. (Carroll Mental Health Care)
• Nai Saturn Eastern LLC (Safeway Pharmacy #1678)
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• Karisa Elizabeth Nastos, LCSWC
• Nina Nguyen
• Florin Ioan Niculescu, M.D. PHD.

• Periodontics in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.