Individual provider Active NPI

Nandakumar B Vellanki, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, MD
National Provider Identifier
1407886336
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
D30469 Issued in MD
Practice address
8850 Columbia 100 Pkwy
Ste 301
Columbia, MD 21045-2377
Phone
(301) 560-4747
Fax
(301) 776-1725
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D30469 MD Primary

Addresses

Primary practice location

8850 Columbia 100 Pkwy
Ste 301
Columbia, MD 21045-2377

Mailing address

7350 Van Dusen Rd
Ste 130
Laurel, MD 20707-5267
Phone (301) 560-4747

Other identifiers 1

IdentifierTypeStateIssuer
398281500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050521000080 MD Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6204877053 Reassigns benefits to 1 organization
Practice locations: Columbia, MD
I20221012000617 DC Practitioner - Internal MedicinePractitioner - Family Practice 6204877053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Padder Health Services LLCGroup PAC ID 7012072648, 20 clinicians

Practice addresses (Care Compare)

7350 Van Dusen Rd
Laurel, MD 20707-5263
Phone (301) 560-4747

8850 Columbia 100 Pkwy
Suite 301
Columbia, MD 21045-2377
Phone 3015604747109

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D30469MDMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Padder Health Services, LLC Geriatric Medicine CurrentSince Feb 1, 2017 Accepting new patients
Padder Health Services, LLC CurrentSince Feb 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8850 Columbia 100 Pkwy
Ste 308
Columbia, MD 21045
Phone (301) 560-4747

8850 Columbia 100 Pkwy
Ste 301
Columbia, MD 21045
Phone (240) 456-4772

7350 Van Dusen Rd
Ste 130
Laurel, MD 20707
Phone (301) 498-8880

7350 Van Dusen Rd
Ste B40
Laurel, MD 20707
Phone (240) 456-4772

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEBAA
  • Direct secure messaging: nandakumar.vellanki@fphs.eclinicaldirectplus.com

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 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1407886336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "STE 130",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075267",
            "telephone_number": "301-560-4747",
            "fax_number": "301-776-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY",
            "address_2": "STE 301",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452377",
            "telephone_number": "301-560-4747",
            "fax_number": "301-776-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLANKI",
        "first_name": "NANDAKUMAR",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D30469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398281500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.