Ajay Bhasker Rao Gangalam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0069296 Issued in MD

Practice address

516 N Rolling Rd Ste 304
Catonsville, MD 21228-4133

Phone

(410) 744-0890

Fax

(410) 744-2007

NPI assigned

Jan 7, 2008

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

Enrolled in MD, DC2 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

Specialty

Nephrology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Atlantic Nephrology Associates PAGroup PAC ID 2769469006, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Catonsville North Dialysis Dialysis facility, Baltimore, MD, CCN 212634
• DaVita Catonsville Dialysis Dialysis facility, Baltimore, MD, CCN 212528
• DaVita Kidney Home Center PD Dialysis facility, Windsor Mill, MD, CCN 212659
• Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011
• University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajaybhaskerraogangalam@mana.allscriptsdirect.net

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.

• Mid-Atlantic Nephrology Associates PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1356390108

  DC

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Renal Treatment Centers - Mid-Atlantic, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Laurel, MD
  • NPI 1902866999
  NPD (past)

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

• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Baltimore, MD
  • NPI 1477513604

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Baltimore, MD
  • NPI 1972563849

  Dialysis facility

  Care Compare affiliation Name & address match
• Kidney Home Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Windsor Mill, MD
  • NPI 1457500894

  Dialysis facility

  Care Compare affiliation Name & address match
• Maryland General Hospital Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1669565180
  Care Compare affiliation
• St. Agnes Healthcare, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1245274901
  Care Compare affiliation

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1295910404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 304",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284133",
            "telephone_number": "410-744-0890",
            "fax_number": "410-744-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 304",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284133",
            "telephone_number": "410-744-0890",
            "fax_number": "410-744-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGALAM",
        "first_name": "AJAY BHASKER RAO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2022-09-27",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0069296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bene Fynn Bansah
• Kristy R Gable, LMT, CDT
• Caroline Gaines, LCSW-C
• John Gambrill Jr., MD
• Lavanya Gandla
• Lauren Amanda Garrett, MA
• William Rade Gaver, MD
• Araceli Gaytan, P.T.
• GBMG Healthcare Inc
• Geipe Pharmacy LLC

• Internal Medicine Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.