Individual provider Active NPI

Rhoda Beatrice Padow, M. D.

  • Psychiatry Physician
  • Fulton, MD
National Provider Identifier
1336163831
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0022328 Issued in MD
Practice address
11348 Duke St
Fulton, MD 20759-2510
Phone
(301) 317-6006
Fax
(301) 604-1946
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0022328 MD Primary

Addresses

Primary practice location

11348 Duke St
Fulton, MD 20759-2510

Mailing address

11348 Duke St
Fulton, MD 20759-2510
Phone (301) 317-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110209000159 DC Practitioner - Psychiatry 2163520156 Practice locations: MC Lean, VA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tufts University School of Medicine, 1970
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6723 Whittier Ave
Suite 405
MC Lean, VA 22101-4509
Phone (301) 317-6006

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336163831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11348 DUKE ST",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592510",
            "telephone_number": "301-317-6006",
            "fax_number": "301-604-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11348 DUKE ST",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592510",
            "telephone_number": "301-317-6006",
            "fax_number": "301-604-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADOW",
        "first_name": "RHODA",
        "middle_name": "BEATRICE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0022328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.