Active NPI
Praveen Duggal, MD
- Otolaryngology Physician
- Owings Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D79215
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D79215 | Other | MD | MARYLAND 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| D79215 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Otolaryngology | Current | Accepting new patients |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Annapolis ENT Surgical Center LLC | Specialist | Current | Accepting new patients |
| Greater Baltimore Medical Center, Inc. | Current | 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
- 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.
-
- Specialist
- Annapolis, MD
- NPI 1275372617
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
-
- Otolaryngology Physician
- Baltimore, MD
- NPI 1295788073
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1629094917
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.