Individual provider Active NPI

Dhivya Pahwa

  • Endocrinology, Diabetes & Metabolism Physician
  • Ijamsville, MD
National Provider Identifier
1417448648
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0101177 Issued in MD
Practice address
10260 Silverside St
Ijamsville, MD 21754-9173
Phone
(240) 215-6310
Fax
(240) 566-7754
NPI assigned
May 23, 2018
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 D0101177 MD Primary

Addresses

Primary practice location

10260 Silverside St
Ijamsville, MD 21754-9173

Mailing address

400 W 7TH St
Frederick, MD 21701-4506

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
I20241118001447 MD Practitioner - Endocrinology 6800320565 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0101177MDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 1, 2024 Accepting new patients
Frederick Health Medical Group LLC Endocrinology, Diabetes & Metabolism Current Accepting new patients
Frederick Health Medical Group LLC CurrentSince Nov 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

10260 Silverside St
Ste 200
Ijamsville, MD 21754

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1417448648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SILVERSIDE ST",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217549173",
            "telephone_number": "240-215-6310",
            "fax_number": "240-566-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHWA",
        "first_name": "DHIVYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0101177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ijamsville, MD

Sources for this page

Verify at the official NPI Registry.