NPIMap

Individual provider Active NPI

Gangagee Balkissoon, M.D

  • Surgery Physician
  • Fort Washington, MD
National Provider Identifier
1306939376
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D23585 Issued in MD
Practice address
11701 Livingston Road
Suite 308
Fort Washington, MD 20744-5146
Phone
(301) 292-7200
Fax
(301) 292-9639
NPI assigned
Oct 2, 2006
Last updated
Oct 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0023585 MD
Surgery Physician 208600000X D23585 MD Primary

Addresses

Primary practice location

11701 Livingston Road
Suite 308
Fort Washington, MD 20744-5146

Mailing address

11701 Livingston Rd
Suite 308
Fort Washington, MD 20744-5146
Phone (301) 292-7200

Other identifiers 2

IdentifierTypeStateIssuer
011469900MedicaidDC
785341600MedicaidMD

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

Practice roles

OrganizationSpecialtyStatusNew patients
Not-for-Profit Hospital Corporation Past Accepting new patients
Greater Southeast Community Hospital Corp I Past Accepting new patients
Capitol Medical Center LLC Past Accepting new patients

Organizations & group practices 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1306939376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD",
            "address_2": "SUITE 308",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445146",
            "telephone_number": "301-292-7200",
            "fax_number": "301-292-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON ROAD",
            "address_2": "SUITE 308",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445146",
            "telephone_number": "301-292-7200",
            "fax_number": "301-292-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKISSOON",
        "first_name": "GANGAGEE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0023585",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D23585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011469900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "785341600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.