Anil K Fatterpaker, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0018319 Issued in MD

Practice address

720 D Maidenchoice Lane
Catonsville, MD 21228

Phone

(410) 788-1177

Fax

(410) 788-1179

NPI assigned

Nov 29, 2005

Last updated

Jan 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Maiden Choice Cardiac Diagnostic Center

  • Cardiovascular Disease Physician
  • Baltimore, MD
  • NPI 1366491557
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1447233952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 D MAIDENCHOICE LANE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-788-1177",
            "fax_number": "410-788-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 D MAIDENCHOICE LANE",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-788-1177",
            "fax_number": "410-788-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTERPAKER",
        "first_name": "ANIL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0018319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REP BCBS",
            "identifier": "R5420001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787571100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "298546",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Fang, CRNP
• Caitlin Elizabeth Farha, LCSW-C
• Rachael D Farkas
• Alison Elizabeth Farmer, RN
• Fatima Foundation Inc (Fatima Eye Care)
• Mandy Nicole Fawcett, PA-C,
• Fayyaz Medical Services
• Lydia M Fazio, P.T.
• David Joel Feldmann, O.D.
• John Fred Felton, DDS

• Cardiovascular Disease Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.