Active NPI
Vinita Patanaphan, MD
- Radiation Oncology Physician
- Belcamp, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D21798
- Practice address
- 1200 Brass Mill Rd
Suite E
Belcamp, MD 21017-1217 - Phone
- (410) 272-9224
- Fax
- (410) 575-7591
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | D21798 | MD | Primary |
Addresses
Primary practice location
1200 Brass Mill Rd
Suite E
Belcamp, MD 21017-1217
Mailing address
2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649911200 | Medicaid | MD | |
| 1043770 | Other | MD | CIGNA PROVIDER # |
| 4421117 | Other | MD | AETNA PROVIDER # |
| 01189076 | Other | MD | AMERIGROUP |
| 34578005 | Other | MD | CARE FIRST BCBS PROV. # |
| 6882-0002 | Other | MD | CAREFIRST BCBS- DC |
| 154681300 | Medicaid | MD | |
| 5160 | Other | MD | ELDER HEALTH PROVIDER # |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Radiation Oncology Associates PA | Radiation Oncology | Current | Accepting new patients |
| Vinita Patanaphan MD PA | Radiation Oncology | Past | Accepting new patients |
Locations
22 S Greene St
Bsmt
Baltimore, MD 21201
Phone (410) 328-3037
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
152 Railroad Ave
Elkton, MD 21921
Phone (443) 907-1650
Interoperability endpoints
- vpatanaphan472964@direct.umm.edu
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Baltimore, MD
- NPI 1780637272
-
- Radiation Oncology Physician
- Belcamp, MD
- NPI 1255307815
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
dba UM Upper Chesapeake Medical Center at Aberdeen
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232323200000",
"number": "1356323570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BRASS MILL RD",
"address_2": "SUITE E",
"city": "BELCAMP",
"state": "MD",
"postal_code": "210171217",
"telephone_number": "410-272-9224",
"fax_number": "410-575-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATANAPHAN",
"first_name": "VINITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2009-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D21798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "649911200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "1043770",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "4421117",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01189076",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BCBS PROV. #",
"identifier": "34578005",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS- DC",
"identifier": "6882-0002",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154681300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER HEALTH PROVIDER #",
"identifier": "5160",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belcamp, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.