Organization Active NPI

Ritu Bhambhani LLC

  • Specialist
  • Abingdon, MD
National Provider Identifier
1316133457
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0056138 Issued in MD
Legal business name
RITU BHAMBHANI LLC
Practice address
100 Walter Ward Blvd
Suite 300
Abingdon, MD 21009-1284
Phone
(410) 569-3333
Fax
(877) 595-7180
NPI assigned
Sep 21, 2007
Last updated
Sep 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Ritu T Bhambhani, MDNPI 1053394130
Title
Owner/Physician
Phone
(443) 857-1417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0056138 MD Primary

Addresses

Primary practice location

100 Walter Ward Blvd
Suite 300
Abingdon, MD 21009-1284

Mailing address

100 Walter Ward Blvd
Suite 300
Abingdon, MD 21009-1284
Phone (410) 777-8971

Other identifiers 1

IdentifierTypeStateIssuer
132702000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080819000250 MD Part B Supplier - Clinic/Group Practice 3274608799 Receives reassigned benefits from 29 practitioners
Practice locations: Baltimore, MD; Abingdon, MD; White Marsh, MD; Severna Park, MD; Havre de Grace, MD; Halethorpe, MD; Greenbelt, MD
O20100930022760 MD DME Supplier - Physician - General Practice 3274608799 1 other NPI on this enrollment
Practice locations: Abingdon, MD
O20220720001428 DC Part B Supplier - Clinic/Group Practice 3274608799 Receives reassigned benefits from 4 practitioners
Practice locations: Greenbelt, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Walter Ward Blvd
Ste 3
Abingdon, MD 21009
Phone (410) 569-3333

3500 Boston St
Ste J2
Baltimore, MD 21224
Phone (410) 522-0001

1716 Harford Rd
Ste 101
Fallston, MD 21047
Phone (410) 877-8141

3720 Washington Blvd
Ste 100
Halethorpe, MD 21227
Phone (410) 646-0001

603 Revolution St
Ste 102
Havre de Grace, MD 21078
Phone (410) 569-3333

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1316133457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD",
            "address_2": "SUITE 300",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091284",
            "telephone_number": "410-777-8971",
            "fax_number": "877-595-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD",
            "address_2": "SUITE 300",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091284",
            "telephone_number": "410-569-3333",
            "fax_number": "877-595-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITU BHAMBHANI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "BHAMBHANI",
        "authorized_official_first_name": "RITU",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "443-857-1417",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0056138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132702000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.