Individual provider Active NPI

Amit Babra, MD

  • Family Medicine Physician
  • Woodlawn, MD
National Provider Identifier
1275185159
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0094944 Issued in MD
Practice address
6660 Security Blvd
Woodlawn, MD 21207-4012
Phone
(443) 380-0552
NPI assigned
Jul 11, 2019
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL15681 ND
Family Medicine Physician 207Q00000X D0094944 MD Primary

Addresses

Primary practice location

6660 Security Blvd
Woodlawn, MD 21207-4012

Mailing address

PO Box 22389
PMB 82739
Nashville, TN 37202
Phone (866) 315-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220906001828 DC Practitioner - Family Practice 3678800067 Reassigns benefits to 1 organization
I20220906001993 MD Practitioner - Family Practice 3678800067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors First, LLCGroup PAC ID 3870661978, 58 clinicians

Practice addresses (Care Compare)

9841 Broken Land Pkwy
Suite 115
Columbia, MD 21046-3062
Phone (301) 820-7204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0094944MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jun 29, 2022 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jun 29, 2022 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jun 29, 2022 Accepting new patients
Sage Health Maryland LLC CurrentSince Dec 13, 2023 Accepting new patients
Patient First Maryland Medical Group, PLLC Family Medicine Current Accepting new patients
Sage Health Mississippi LLC PastSince Dec 17, 2023 Accepting new patients

Locations

5900 Cedar Ln
Columbia, MD 21044
Phone (410) 964-2306

3541 Washington Blvd
Ste 110
Halethorpe, MD 21227
Phone (443) 543-9914

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

8206 Georgia Ave
Silver Spring, MD 20910
Phone (301) 960-4682

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

6660 Security Blvd
Woodlawn, MD 21207
Phone (410) 944-8020

6660 Security Blvd
Ste 1
Woodlawn, MD 21207
Phone (443) 380-0552

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: amit.babra.1@27478.direct.athenahealth.com
  • Direct secure messaging: amitbabra@normd.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1275185159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22389",
            "address_2": "PMB 82739",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37202",
            "telephone_number": "866-315-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 SECURITY BLVD",
            "city": "WOODLAWN",
            "state": "MD",
            "postal_code": "212074012",
            "telephone_number": "443-380-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABRA",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-12-12",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL15681",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0094944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlawn, MD

Sources for this page

Verify at the official NPI Registry.