Individual provider Active NPI

Shailaja M Didolkar, M.D.

  • Gynecology Physician
  • Cockeysville, MD
National Provider Identifier
1285619312
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D0022106 Issued in MD
Practice address
54 Scott Adam Rd
Suite 203
Cockeysville, MD 21030-3216
Phone
(410) 683-1440
Fax
(410) 683-1308
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X D0022106 MD Primary

Addresses

Primary practice location

54 Scott Adam Rd
Suite 203
Cockeysville, MD 21030-3216

Mailing address

54 Scott Adam Rd
Suite 203
Cockeysville, MD 21030-3216
Phone (410) 683-1440

Other identifiers 1

IdentifierTypeStateIssuer
2801OtherMDBLUE SHIELD

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

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1285619312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "SUITE 203",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-683-1440",
            "fax_number": "410-683-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SCOTT ADAM RD",
            "address_2": "SUITE 203",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303216",
            "telephone_number": "410-683-1440",
            "fax_number": "410-683-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOLKAR",
        "first_name": "SHAILAJA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D0022106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2801",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.