Individual provider Active NPI

Geetha Raja, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1437167368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D27541 Issued in MD
Practice address
4367 Hollins Ferry Rd
Suite 4a
Baltimore, MD 21227
Phone
(410) 242-6220
Fax
(410) 242-6731
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D27541 MD Primary

Addresses

Primary practice location

4367 Hollins Ferry Rd
Suite 4a
Baltimore, MD 21227

Mailing address

4367 Hollins Ferry Rd
Suite 4a
Baltimore, MD 21227
Phone (410) 242-6220

Other identifiers 1

IdentifierTypeStateIssuer
399571200MedicaidMD

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
I20051110000218 MD Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1557389343 Reassigns benefits to 1 organization
Practice locations: Catonsville, MD

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Sep 25, 2017 Accepting new patients
Dr. Darlyne Cange, DPM, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7927 Ritchie Hwy
Glen Burnie, MD 21061
Phone (410) 494-9099

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437167368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 HOLLINS FERRY RD",
            "address_2": "SUITE 4A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21227",
            "telephone_number": "410-242-6220",
            "fax_number": "410-242-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 HOLLINS FERRY RD",
            "address_2": "SUITE 4A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21227",
            "telephone_number": "410-242-6220",
            "fax_number": "410-242-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "GEETHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D27541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399571200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.