Individual provider Active NPI

Praveen Duggal, MD

  • Otolaryngology Physician
  • Owings Mills, MD
National Provider Identifier
1437335973
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D79215 Issued in MD
Practice address
23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490
Phone
(410) 356-2626
Fax
(410) 356-7806
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D79215 MD
Otolaryngology Physician 207Y00000X D79215 MD Primary

Addresses

Primary practice location

23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490

Mailing address

2002 Medical Pkwy Ste 230
Annapolis, MD 21401-3282
Phone (410) 266-3900

Other practice location 1

410 Malcolm Dr Ste E
Westminster, MD 21157-6160
Phone (410) 356-2626

Other practice location 2

10400 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3526
Phone (410) 356-2626

Other identifiers 1

IdentifierTypeStateIssuer
D79215OtherMDMARYLAND LICENSE

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
I20150702001568 MD Practitioner - Otolaryngology 6800051236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
George Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annapolis ENT Surgical Center LLCGroup PAC ID 9436226750, 41 clinicians
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

23 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5490
Phone (410) 356-2626

6535 N Charles St
Baltimore, MD 21204-5829

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D79215MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. Otolaryngology CurrentSince Sep 5, 2018 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Annapolis ENT Surgical Center LLC Specialist CurrentSince Jul 1, 2024 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Sep 5, 2018 Accepting new patients
Annapolis ENT Surgical Center, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2002 Medical Pkwy
Ste 230
Annapolis, MD 21401
Phone (410) 226-3900

10400 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (410) 356-2626

23 Crossroads Dr
Ste 400
Owings Mills, MD 21117
Phone (410) 356-2626

5233 King Ave
Ste 112
Rosedale, MD 21237
Phone (410) 238-0057

6535 N Charles St
Ste 250
Towson, MD 21204
Phone (443) 849-2140

6565 N Charles St
Ste 601
Towson, MD 21204
Phone (410) 821-5151

410 Malcolm Dr
Ste E
Westminster, MD 21157
Phone (410) 356-2626

Interoperability endpoints

  • Direct secure messaging: pduggal225630@direct.umm.edu

Organizations & group practices 6

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1437335973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 230",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013282",
            "telephone_number": "410-266-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175490",
            "telephone_number": "410-356-2626",
            "fax_number": "410-356-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Malcolm Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211576160",
            "country_code": "US",
            "telephone_number": "410-356-2626",
            "fax_number": "410-356-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 Little Patuxent Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443526",
            "country_code": "US",
            "telephone_number": "410-356-2626",
            "fax_number": "410-356-7806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGAL",
        "first_name": "PRAVEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D79215",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D79215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "D79215",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.