NPIMap

Individual provider Active NPI

Lalitha Tadikonda, MD

  • Internal Medicine Physician
  • Laurel, MD
National Provider Identifier
1265423586
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0056797 Issued in MD
Practice address
13952 Baltimore Ave
Laurel, MD 20707-5000
Phone
(301) 490-1990
Fax
(301) 490-8750
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0056797 MD Primary

Addresses

Primary practice location

13952 Baltimore Ave
Laurel, MD 20707-5000

Mailing address

7580 Buckingham Blvd Ste 220
Hanover, MD 21076-3210
Phone (410) 729-5100

Other practice location 1

5900 Waterloo Rd Ste 200
Columbia, MD 21045-2641
Phone (410) 740-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100914000743 DC Practitioner - Internal Medicine 8022074707 Reassigns benefits to 3 organizations
I20240306000418 MD Practitioner - Internal Medicine 8022074707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Primary Care Physicians, LLCGroup PAC ID 8729981832, 101 clinicians
Sun Rise Rehab LLCGroup PAC ID 4880783810, 22 clinicians

Practice addresses (Care Compare)

5900 Waterloo Rd
Suite 200
Columbia, MD 21045-2641
Phone (410) 740-2900

7249 Hanover Pkwy
Greenbelt, MD 20770-3608
Phone (301) 613-8923

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • The Johns Hopkins Home Health Services, Inc Home health agency, Baltimore, MD, CCN 217081
  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056797MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Internal Medicine CurrentSince Oct 4, 2018 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Apr 30, 2017 Accepting new patients
Maryland Primary Care Physicians, LLC CurrentSince Apr 1, 2024 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Oct 4, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 30, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

1509 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-1600

5900 Waterloo Rd
Ste 200
Columbia, MD 21045
Phone (410) 321-8452

7580 Buckingham Blvd
Ste 220
Hanover, MD 21076
Phone (410) 729-5100

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

13952 Baltimore Ave
Laurel, MD 20707
Phone (301) 490-1990

Organizations & group practices 8

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 9

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1265423586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 BUCKINGHAM BLVD STE 220",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210763210",
            "telephone_number": "410-729-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13952 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "301-490-1990",
            "fax_number": "301-490-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Waterloo Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210452641",
            "country_code": "US",
            "telephone_number": "410-740-2900",
            "fax_number": "410-992-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADIKONDA",
        "first_name": "LALITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0056797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.