Individual provider Active NPI

Javzandulam Natsag, M.D., PHD

  • Endocrinology, Diabetes & Metabolism Physician
  • Columbia, MD
National Provider Identifier
1356575229
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0079225 Issued in MD
Practice address
10710 Charter Dr Ste 410
Suite 410
Columbia, MD 21044-3276
Phone
(301) 953-2080
Fax
(301) 953-3543
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0079225 MD Primary

Addresses

Primary practice location

10710 Charter Dr Ste 410
Suite 410
Columbia, MD 21044-3276

Mailing address

10710 Charter Dr Ste 410
Suite 410
Columbia, MD 21044-3276
Phone (301) 953-2080

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
I20150701002000 MD Practitioner - Endocrinology 7315197282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Endocrine, P.a.Group PAC ID 4082659529, 12 clinicians
St Paul Place Specialists, Inc.Group PAC ID 7719882943, 332 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite 410
Columbia, MD 21044-3276

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 659-2800

5500 Knoll N Dr
Suite 510
Columbia, MD 21045-2365
Phone (301) 953-2080

Hospital & facility affiliations

  • Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079225MDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Endocrine, P.a. Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10710 Charter Dr
Ste 410
Columbia, MD 21044
Phone (301) 953-2080

5500 Knoll North Dr
Ste 510
Columbia, MD 21045
Phone (301) 953-2080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDAAAA

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 2

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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1356575229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE 410",
            "address_2": "SUITE 410",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443276",
            "telephone_number": "301-953-2080",
            "fax_number": "301-953-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR STE 410",
            "address_2": "SUITE 410",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443276",
            "telephone_number": "301-953-2080",
            "fax_number": "301-953-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATSAG",
        "first_name": "JAVZANDULAM",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0079225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.