Ellicott City Primary Care Physicians, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0067020 Issued in MD

Legal business name

ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA

Practice address

10910 Little Patuxent Parkway
#200
Columbia, MD 21044

Phone

(410) 997-2770

Fax

(410) 997-0066

NPI assigned

Dec 1, 2010

Last updated

Sep 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nadeem Anwar Hashmi, M.D.NPI 1518097989

Title

Vice President

Phone

(410) 997-2770

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Nadeem A Hashmi, MD

  • Neonatal-Perinatal Medicine Physician
  • Columbia, MD
  • NPI 1518097989
  Medicare reassignment Care Compare group NPD Authorized official
• Zeenat Nadeem Hashmi, M.D.

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1154512549
  Medicare reassignment Care Compare group NPD
• Varinder Kumar, M.D

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1811389893
  Medicare reassignment Care Compare group NPD
• Francis C. Bruno, M.D.

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1063486702
  NPD (past)
• Chandni Patel, PA-C

  • Physician Assistant
  • Columbia, MD
  • NPI 1639997729
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474070400000",
    "number": "1356643035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 LITTLE PATUXENT PARKWAY",
            "address_2": "#200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-997-2770",
            "fax_number": "410-997-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 LITTLE PATUXENT PARKWAY",
            "address_2": "#200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-997-2770",
            "fax_number": "410-997-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICOTT CITY PRIMARY CARE PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2016-09-17",
        "status": "A",
        "authorized_official_last_name": "HASHMI",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_middle_name": "ANWAR",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-997-2770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MD",
            "license": "D67217",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0067020",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MD",
            "license": "D0067020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415060102",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419513200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442008000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Caregivers Nursing Agency LLC
• Elite Chiropractic & Sport, LLC
• Elite Urgent Care
• Barbara Ann Eller, MD
• Ellicott City Mental Health LLC
• Antonia Elliott
• Clark Elliott
• Julie A Elliott, R.N.
• Lona Elliott
• Tisa Brumbley Elliott, R.N.

• Pediatrics Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.