Active NPI
Natale Joseph Gagliardi, M.D.
- Addiction Medicine (Family Medicine) Physician
- Pasadena, MD
National Provider Identifier
1447225719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- D25774
- Practice address
- 2528 Mountain Rd
#204
Pasadena, MD 21122-2300 - Phone
- (410) 255-4475
- Fax
- (410) 255-6277
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | D25774 | MD | Primary |
Addresses
Primary practice location
2528 Mountain Rd
#204
Pasadena, MD 21122-2300
Mailing address
5101 Penfield Rd W
Columbia, MD 21045-2218
Phone (410) 707-7547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15740-1900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D25774 | MD | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Radiology P a | Past | Accepting new patients | |
| University of Maryland Pediatric Associates, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Columbia, MD
- NPI 1922963776
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1083933444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1447225719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 PENFIELD RD W",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452218",
"telephone_number": "410-707-7547",
"fax_number": "410-992-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 MOUNTAIN RD",
"address_2": "#204",
"city": "PASADENA",
"state": "MD",
"postal_code": "211222300",
"telephone_number": "410-255-4475",
"fax_number": "410-255-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIARDI",
"first_name": "NATALE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MD",
"license": "D25774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15740-1900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, MD
- Fresenius Medical Care Glen Burnie, LLC (Fresenius Kidney Care Glen Burnie)
- Liri Fusha
- Futurecare Health and Management Corporation
- Futurecare Rehabilitation Services Inc.
- Deborah Marie Gage, M.D.
- Laura Beth Gandarillas, NATUROPATH
- Michael Francis Garahy, M.D.
- Maria Sigrid Garay, NP
- Akash Garg, MD
- Pradeep Garg, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.