Individual provider Active NPI

Preeti Saxena, MD

  • Family Medicine Physician
  • Hagerstown, MD
National Provider Identifier
1306995907
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0056714 Issued in MD
Practice address
1138 Opal CT
Hagerstown, MD 21740-5940
Phone
(301) 745-4500
Fax
(301) 745-4659
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0056714 MD Primary

Addresses

Primary practice location

1138 Opal CT
Hagerstown, MD 21740-5940

Mailing address

1138 Opal CT
Hagerstown, MD 21740-5940
Phone (301) 745-4500

Other identifiers 1

IdentifierTypeStateIssuer
400753100MedicaidMD

Other names 1

  • Dr. Preeti Rastogi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000426 MD Practitioner - Family Practice 3678504057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Hagerstown Family Medicine, PCGroup PAC ID 5991749210, 2 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

1138 Opal CT
Hagerstown, MD 21740-5940
Phone (301) 745-4500

Hospital & facility affiliations

  • Meritus Medical Center, Inc Home health agency, Hagerstown, MD, CCN 217085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056714MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerstown Family Medicine, PC Family Medicine CurrentSince Jun 1, 2005 Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1138 Opal Ct
Hagerstown, MD 21740
Phone (301) 745-4500

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1306995907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "301-745-4500",
            "fax_number": "301-745-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "301-745-4500",
            "fax_number": "301-745-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "PREETI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0056714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400753100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PREETI",
            "last_name": "RASTOGI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.